Kaydianne Grote, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019.030824 Issued in IL

Practice address

606 W Adams St
Pittsfield, IL 62363-1308

Phone

(217) 285-4407

Fax

(217) 285-4639

NPI assigned

Aug 11, 2016

Last updated

May 10, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1470873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715299200000",
    "number": "1114471869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "606 W ADAMS ST",
            "city": "PITTSFIELD",
            "state": "IL",
            "postal_code": "623631308",
            "telephone_number": "217-285-4407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "606 W ADAMS ST",
            "city": "PITTSFIELD",
            "state": "IL",
            "postal_code": "623631308",
            "telephone_number": "217-285-4407",
            "fax_number": "217-285-4639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROTE",
        "first_name": "KAYDIANNE",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-08-11",
        "last_updated": "2024-05-10",
        "certification_date": "2024-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019.030824",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Francisco Silveira Escobar, MD
• Emily E Feenstra, APRN
• Foot and Ankle Associates of Central Illinois LLC
• David Stewart Glasgow, MD
• James A. Grote, M.D.
• Bethany Guggenheim
• Rachel E. Hancock, CNP
• Hannibal Regional Healthcare System, Inc. (Hannibal Regional Medical Group)
• Hannibal Regional Hospital (Hannibal Regional Medical Group)
• Margaret Hanzel, R.PH.

• General Practice Dentistry in Pittsfield, IL
• Providers in Pittsfield, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.