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GORDON ERNEST GRUEN D.D.S.
NPI 1629183116
Dentist - Oral and Maxillofacial Pathology in Memphis, TN

Active since August 21, 2006PECOS Enrolled
780 RIDGE LAKE BLVD, SUITE 101, MEMPHIS, TN 38120(901) 682-8431(901) 682-2345 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Gordon Ernest Gruen D.d.s. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GORDON ERNEST GRUEN D.D.S. (NPI 1629183116) is an individual oral and maxillofacial pathology provider in Memphis, Tennessee, licensed in Tennessee (DS 1783) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1629183116
Entity TypeIndividualMale
Primary Taxonomy1223P0106X
Provider Legal NameGORDON ERNEST GRUENCredential: D.D.S.
Location Address780 RIDGE LAKE BLVD, SUITE 101Memphis, TN 38120-9426
Mailing Address780 Ridge Lake Blvd, Suite 101Memphis, TN 38120-9426 · (901) 682-8431 · Fax (901) 682-2345
Phone(901) 682-8431
Fax(901) 682-2345
Sole ProprietorNo
Enumeration DateAugust 21, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1629183116 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial PathologyDental Providers
Taxonomy Code1223P0106X
License✔ Licensed in TN · DS 1783
Definition
The specialty of dentistry and discipline of pathology that deals with the nature, identification, and management of diseases affecting the oral and maxillofacial regions. It is a science that investigates the causes, processes, and effects of these diseases. The practice of oral and maxillofacial pathology includes research and diagnosis of diseases using clinical, radiographic, microscopic, biochemical, or other examinations.
780 RIDGE LAKE BLVD, Memphis, TN 38120
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Other Identifiers 3

Medicare ID-Type Unspecified3-20365-9TN
Other2007914TN · Blue Cross Blue Shield
Medicare UPINT74116TN

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Gordon Ernest Gruen D.d.s. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38120 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$66.01 typical visit price
range $16.72 – $131.41
Typical copayment $16.50 (range $4.18 – $32.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. DWIGHT ADAIR MORRIS D.D.S.
Dentist (Oral and Maxillofacial Pathology)
780 RIDGE LAKE BLVD, SUITE 101
MEMPHIS, TN 38120
Shelby County (901) 682-8431
MS. RHONDA PAYNE ACSW, LCSW
Social Worker (Clinical)
780 RIDGE LAKE BLVD, SUITE 103
MEMPHIS, TN 38120
Shelby County (901) 767-0990
NEAL DENTAL OFFICE
Dentist
780 RIDGE LAKE BLVD, 201B
MEMPHIS, TN 38120
Shelby County (901) 683-7315

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gordon Gruen's NPI number?

The NPI number for Gordon Gruen is 1629183116. It was assigned to this individual provider in the NPPES registry on August 21, 2006.

Where is Gordon Gruen located?

Gordon Gruen practices at 780 Ridge Lake Blvd Suite 101, Memphis, TN 38120. The listed phone number is (901) 682-8431.

What is Gordon Gruen's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Pathology, with taxonomy code 1223P0106X.

Is Gordon Gruen enrolled in Medicare?

Yes. Gordon Gruen is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Gordon Gruen was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.