Individual Healthcare Provider
Grady Gores
Provider's NPPES record last updated: August 4, 2022
Overview
- Entity Type
- Individual Healthcare Provider
- NPI
- 1811645054
- Primary Specialty
- Dentist — General Practice
- Practice Location
- Truckee, California
- Sole Proprietor
- Yes
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 20, 2026, 10:25 PM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Dentist
General Practice
Dental Providers
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Taxonomy code 1223G0001X
Provider-Reported License Information
- Dentist (California)
- 107710
- Dentist (Nevada)
- 7673
Practice Locations
Practice Location
12020 Donner Pass Rd
Truckee, California 96161-4902
Phone: (507) 254-5775
Additional Practice Location
140 Mackinaw Rd
Tahoe City, California 96145-1929
Phone: (507) 254-5775
Additional Practice Location
267 Brinkby Ave
Reno, Nevada 89509-4354
Phone: (775) 825-9233
Record Information
- Enumeration Date
- March 16, 2022
- Provider's NPPES Record Last Updated
- August 4, 2022
- Certification Date
- August 4, 2022
- NPISignal NPPES Dataset
- August 2026
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