Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1790434801 Individual Practitioner Male Practitioner

Dr. Daulton K. Grube , MD

Pediatrics • Cheyenne, WY

Professional Overview & Biography Verified Profile Summary

Dr. Daulton Grube, MD is a certified Pediatrics practicing in Cheyenne, WY. With approximately 4 years of clinical experience since graduating from University Of Washington School Of Medicine in 2022, Dr. Grube delivers high-quality medical care to the local community at 2301 HOUSE AVE STE 405.

Dr. Grube does not directly accept Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

2301 House Ave Ste 405

Cheyenne, WY 820013180

Telephone 3076357961
Fax 3077785812
Associated Practice Facility / Clinic
🏢 Children's Hospital Colorado Facility NPI 1720660327

Medicare Profile & Education

Medical School

University Of Washington School Of Medicine

Graduation Year

2022

Medicare Assignment

Not Specified

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Cheyenne, WY

Rising Specialist (<5 Yrs)
Practitioner Clinical Experience
4 Yrs -6.8 yrs vs City Avg
City Avg: 10.8 Yrs
State Avg: 16.5 Yrs
Regional Practice Density
20 Specialists

Practicing in Cheyenne, WY (83 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

Clinical Seniority & Experience Comparison

Dr. Grube (4 Years) 4 Yrs
Cheyenne Specialty Average (10.8 Years) 10.8 Yrs

Medical Specialties & State Licenses

CMS Verified: 2025-12-16
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License WY 18656A

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Secondary Practice Locations

4116 Laramie St

Cheyenne, WY 820011969

Phone: 3076357961

Practice Associates & Co-Workers

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

20 Associated Practitioners
NPI 1053325159

Doctor of Medicine (M.D.)

Dr. Justin Romano , MD

Psychiatry & Neurology - Psychiatry

NPI 1134614399

Doctor of Medicine (M.D.)

Paul Plohr , NP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1144167909

Nurse Practitioner

NPI 1205014560

Doctor of Medicine (M.D.)

NPI 1215672779

Doctor of Medicine (M.D.)

NPI 1245463041

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

12 Historical Events
📍
Updated Practice Location December 16, 2025

Registered at 2301 HOUSE AVE STE 405, CHEYENNE, WY 820013180 (Tel: 3076357961)

📍
Updated Business Mailing Address December 16, 2025

Registered at PO BOX 20970, CHEYENNE, WY 820037020 (Tel: 3079964777)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 16, 2025

Pediatrics (License #18656A in WY)

📍
Updated Practice Location August 10, 2023

Registered at 295 S CHIPETA WAY RM 2S010, SALT LAKE CITY, UT 841081287 (Tel: 8015812121)

📍
Updated Business Mailing Address August 10, 2023

Registered at 295 S CHIPETA WAY RM 2S010, SALT LAKE CITY, UT 841081287 (Tel: 8015812121)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 10, 2023

Pediatrics (License #13521388-1205 in UT)

NPI Profile Active March 23, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location March 23, 2022

Registered at 81 N MARIO CAPECCHI DR, SALT LAKE CITY, UT 841131125 (Tel: 8016625700)

📍
Updated Business Mailing Address March 23, 2022

Registered at 81 N MARIO CAPECCHI DR, SALT LAKE CITY, UT 841131125 (Tel: 8016625700)

👤
Provider Name / Credentials Updated March 23, 2022

Recorded as DAULTON GRUBE, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 23, 2022

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration March 23, 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: 1790434801
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 23, 2022
Last Update: December 16, 2025
Sole Proprietor: No

Mailing Address

Po Box 20970

Cheyenne, WY 820037020

Phone: 3079964777

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.