Jack Gruber, D.D.S.
NPI 1457424186 · Periodontics · Great Neck, NY
Enrolled with Medicare as Order and Referring Only - Dentist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jack Gruber, D.D.S. is a Periodontics provider in Great Neck, NY (NPI 1457424186).
Provider details
- NPI number
- 1457424186
- Entity type
- Individual
- Primary specialty
- PeriodonticsDental Providers
- Credential
- D.D.S.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 028946 (NY)
Specialties & taxonomies
Dental Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-11-17
- Last updated
- 2007-07-08
Frequently asked questions
- What is Jack Gruber's NPI number?
- Jack Gruber's National Provider Identifier (NPI) is 1457424186, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jack Gruber's specialty?
- Jack Gruber is listed in the NPPES registry with a primary specialty of Periodontics (Dental Providers).
- Where is Jack Gruber located?
- Jack Gruber's practice location on file with NPPES is 54 Old Pond Rd, Great Neck, NY 11023-1031.
- What is Jack Gruber's phone number?
- The practice phone number listed in the NPPES registry for Jack Gruber is (516) 466-3605.
- Does Jack Gruber accept Medicare?
- Jack Gruber is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jack Gruber's NPI active?
- Yes — Jack Gruber's NPI (1457424186) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.