GRAND RAPIDS ENDODONTICS
NPI 1134469869
Dentist - Endodontics in Walker, MI

NPI Status: Active since February 16, 2013

Contact Information

1100 4 MILE RD NW
SUITE C
WALKER, MI
ZIP 49544
Phone: (616) 784-5800
Fax: (616) 784-5801

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  • Organization
  • Dentist
  • Endodontics
  • CLIA Number: 23D2318473
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 02-10-2027

About GRAND RAPIDS ENDODONTICS

This page provides the complete NPI Profile along with additional information for Grand Rapids Endodontics, a provider established in Walker, Michigan operating as a Dentist, focusing in endodontics . The healthcare provider is registered in the NPI registry with number 1134469869 assigned on February 2013. The practitioner's primary taxonomy code is 1223E0200X with license number 2901014839 (MI). The provider is registered as an organization and their NPI record was last updated 13 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The provider's is doing business as Grand Rapids Endodontics. The authorized official of this NPI record is David C. Gruber Dds, Ms (President)

NPI
1134469869
Provider Legal Name
DAVID C. GRUBER, DDS, MS, PC
Other Organization Name
GRAND RAPIDS ENDODONTICS
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1100 4 MILE RD NW SUITE C WALKER, MI 49544
Location Phone
(616) 784-5800
Location Fax
(616) 784-5801
Mailing Address
1100 4 MILE RD NW SUITE C WALKER, MI 49544
Mailing Phone
(616) 784-5800
Mailing Fax
(616) 784-5801
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-16-2013
Last Update Date
02-16-2013
Code Navigator

A dentist like Grand Rapids Endodontics is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Dentist Endodontics

Taxonomy Code
1223E0200X
Type
Dental Providers
License No.
2901014839
License State
MI
Taxonomy Description
The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DAVID C. GRUBER DDS, MS

Authorized Official Title
PRESIDENT
Authorized Official Phone
(616) 784-5800

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
23D2318473
Facility Type
Physician Office
Certificate Effective Date
February 11, 2025
Certificate Expiration Date
February 10, 2027
Laboratory Director
THOMAS DUNNING
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Grand Rapids Endodontics to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1134469869, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 71. The final step is to find the difference between that total and the next multiple of ten (80 - 71 = 9).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
3
Doubled → 6
Pos 4
4
Unchanged
Pos 5
4
Doubled → 8
Pos 6
6
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
8
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
9
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 3 → 6 4 → 8 9 → 18 → 9 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 6 + 4 + 8 + 6 + 1 + 8 + 8 + 1 + 2 + 24 = 71

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 71 is 80. The difference is the calculated check digit.

80 - 71 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1134469869.

Other Providers at the Same Location


The following 7 providers are registered at the same or a nearby location.

Dentist (General Practice)
1100 4 MILE RD NW, SUITE D
WALKER, MI 49544
Chiropractor
1100 4 MILE RD NW
GRAND RAPIDS, MI 49544
Chiropractor
1100 4 MILE RD NW
GRAND RAPIDS, MI 49544
Chiropractor
1100 4 MILE RD NW, SUITE D
GRAND RAPIDS, MI 49544
Dentist (General Practice)
1100 4 MILE RD NW
GRAND RAPIDS, MI 49544
Dentist
1100 4 MILE RD NW
GRAND RAPIDS, MI 49544
Dentist
1100 4 MILE RD NW
GRAND RAPIDS, MI 49544

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1134469869, enumerated as an "organization" on February 16, 2013.

The provider is located at 1100 4 MILE RD NW SUITE C WALKER, MI 49544 and the phone number is (616) 784-5800.

Dentist with taxonomy code 1223E0200X and a focus in Endodontics.