DR. KEITH GROTE (NPI# 1336257344) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336257344 |
| Entity Type | Individual |
| Full Name | DR. KEITH GROTE |
| Credential | DMD |
| Practice Address |
635 Anderson Rd Suite 16 Davis CA 95616-3505 |
| Practice Telephone | 5307568800 |
| Practice Fax Number | 5307589418 |
| Mailing Telephone | 5307568800 |
| Mailing Fax Number | 5307589418 |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 46597 | CA | Dental Providers |
| Street Address |
635 ANDERSON RD SUITE 16 |
| City | DAVIS |
| State | CA |
| Zip Code | 95616-3505 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235135427 | Tracy Lee Basso | Podiatrist | 635 Anderson Rd, Ste 19, Davis, CA 95616-3505 | 2005-06-22 |
| 1194258293 | Tyler Poland | Chiropractor | 635 Anderson Rd, Ste 14, Davis, CA 95616-3505 | 2017-04-05 |
| 1487010062 | Scott Vermeulen | Orthotist | 635 Anderson Rd, Suite 18, Davis, CA 95616-3505 | 2016-01-12 |
| 1174909402 | Hanger Prosthetics & Orthotics West, Inc. | Durable Medical Equipment & Medical Supplies | 635 Anderson Rd, Suite 18, Davis, CA 95616-3505 | 2015-08-10 |
| 1891058962 | David Lee Tomkins | Family Medicine | 635 Anderson Rd, Suite 10, Davis, CA 95616-3505 | 2012-06-22 |
| 1922382316 | Hong Joon Lee | Acupuncturist | 635 Anderson Rd, Suite 12a, Davis, CA 95616-3505 | 2011-10-04 |
| 1013143718 | Crystal Blankenship | Family Medicine | 635 Anderson Rd, Suite 10, Davis, CA 95616-3505 | 2009-06-09 |
| 1932364163 | Laura H Applebaum | Family Medicine | 635 Anderson Rd, Suite 10, Davis, CA 95616-3505 | 2008-07-28 |
| 1750559928 | Sutter Health | Non-Pharmacy Dispensing Site | 635 Anderson Rd, 10, Davis, CA 95616-3505 | 2008-02-11 |
| 1194891747 | Sutter Medical Foundation | Durable Medical Equipment & Medical Supplies | 635 Anderson Rd, #10, Davis, CA 95616-3505 | 2006-11-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417560871 | Anne-frances Ostrander | Physical Therapy Assistant | 397 La Rue Rd, Davis, CA 95616 | 2020-08-26 |
| 1487271458 | Alix Peloso Mahon | Behavior Technician | 1212 Alvarado Ave Apt 68, Davis, CA 95616 | 2020-06-25 |
| 1427671882 | Dhhs Ihs Cao Sacred Oaks Healing Center | Substance Abuse Rehabilitation Facility | 33100 County Road 31, Davis, CA 95616 | 2020-05-20 |
| 1871126961 | Linda Marie Adams | Dietitian, Registered | Uc Davis Occupational Health, One Shields Ave - Cowell Hall Room 35, Davis, CA 95616 | 2020-02-17 |
| 1851935217 | Timothy James Johnston | Orthotist | 635 Anderson Rd., Suite 18, Davis, CA 95616 | 2019-10-29 |
| 1386290716 | Dakota Cool | Specialist/Technologist | 750 Orchard Road, Davis, CA 95616 | 2019-08-12 |
| 1366908618 | Capitol Periodontal Group | Dentist | 750 F Street #5, Davis, CA 95616 | 2019-02-12 |
| 1831663434 | Elisha Niccole Cusumano | Specialist/Technologist | 264 Hickey Gym, 1 Shields Ave, Davis, CA 95616 | 2019-01-16 |
| 1609364991 | Aron Matthew Katz | Psychologist | One Shield Ave, Student Health & Wellness Center, Bhp, Davis, CA 95616 | 2018-04-23 |
| 1316463938 | Arielle Pinkston | Marriage & Family Therapist | 203 F St, Davis, CA 95616 | 2017-08-15 |
| Find all providers in zip 95616 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437616349 | Dagon Jones Dds Inc. | Dentist | 2800 5th Street, Suite 100, Davis, CA 95618 | 2019-02-27 |
| 1952785644 | Avineet Boparai | Dentist | 4515 Fermi Pl Ste 106, Davis, CA 95618 | 2015-07-13 |
| 1750798252 | Kari Fowler | Dentist | 4515 Fermi Pl, Suite 106, Davis, CA 95618-9410 | 2014-07-16 |
| 1063841096 | Sergio Vicuna Dental Corporation | Dentist | 4515 Fermi Place Suite 106, Davis, CA 95618 | 2013-11-12 |
| 1164854378 | Andrea Marie Clegg | Dentist | 432 Heron Pl, Davis, CA 95616-7512 | 2013-07-30 |
| 1477896884 | David Du | Dentist | 1205 Drake Dr Ste B, Davis, CA 95616-0856 | 2013-04-03 |
| 1982935409 | Amber Eileen Eakle | Dentist | 217 William Ave., Davis, WV 26260-0217 | 2010-01-22 |
| 1497986970 | Cynthia Louise Dominessy | Dentist | 635 Anderson Rd Ste 16, Davis, CA 95616-3505 | 2009-08-02 |
| 1881855112 | Dagon Hurricane Jones | Dentist | 2800 5th St, Suite 100, Davis, CA 95618-7760 | 2008-06-19 |
| 1811095060 | Visse Pahlavan Storm | Dentist | 305 D St, Davis, CA 95616-4128 | 2006-09-20 |
| Find all providers in DAVIS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.