Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1215662788 Individual Practitioner Male Practitioner

Dr. Cody Shawn Groll , DDS

Dentist • Pittsburg, KS

Professional Overview & Biography Verified Profile Summary

Dr. Cody Groll, DDS is a registered healthcare professional specializing in Dentist in Pittsburg, KS. Practice services are available at 3011 N MICHIGAN ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3011 N Michigan St

Pittsburg, KS 667622546

Telephone 2023198736
Fax 6202315062
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Pittsburg, KS

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 13.0 Yrs
Regional Practice Density
6 Specialists

Practicing in Pittsburg, KS (638 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-02-03
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License KS 61967

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.

Dentist

NUCC Taxonomy Code: 122300000X

State License UT 12891810-9922

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Sheina Huffman , ARNP-CNP

Nurse Practitioner - Family

NPI 1053681049

ARNPCNP

NPI 1093793895

Doctor of Dental Surgery

Dr. Kent Coltharp , DO

Family Medicine

NPI 1093834723

Doctor of Osteopathic Medicine (D.O.)

NPI 1124109095

Doctor of Dental Surgery

Kayla Roecker , APRN

Nurse Practitioner - Psychiatric/Mental Health

NPI 1144690249

Advanced Practice Registered Nurse

Danielle Bennett , RN

Nurse Practitioner - Family

NPI 1164031936

Registered Nurse

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 19, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location July 19, 2022

Registered at 3011 N MICHIGAN ST, PITTSBURG, KS 667622546 (Tel: 2023198736)

📍
Updated Business Mailing Address July 19, 2022

Registered at PO BOX 1808, PITTSBURG, KS 667621808

👤
Provider Name / Credentials Updated July 19, 2022

Recorded as CODY GROLL, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 19, 2022

Dentist (License #12891810-9922 in UT)

🟢
Initial NPI Registration & Enumeration July 19, 2022

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1215662788
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 19, 2022
Last Update: February 03, 2023
Sole Proprietor: No

Mailing Address

Po Box 1808

Pittsburg, KS 667621808

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.