Baron George Grutter, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2010016293 Issued in MO

Practice address

5601 NE Antioch Rd
Suite 5
Gladstone, MO 64119-2300

Phone

(816) 455-1200

Fax

(816) 455-1021

NPI assigned

Jun 22, 2010

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1277164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277164800000",
    "number": "1134440340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5601 NE ANTIOCH RD",
            "address_2": "SUITE 5",
            "city": "GLADSTONE",
            "state": "MO",
            "postal_code": "641192300",
            "telephone_number": "816-455-1200",
            "fax_number": "816-455-1021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5601 NE ANTIOCH RD",
            "address_2": "SUITE 5",
            "city": "GLADSTONE",
            "state": "MO",
            "postal_code": "641192300",
            "telephone_number": "816-455-1200",
            "fax_number": "816-455-1021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRUTTER",
        "first_name": "BARON",
        "middle_name": "GEORGE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-22",
        "last_updated": "2010-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "2010016293",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James J Good, DPM
• Saryn Graham
• John Reese Graue II, D.D.S.
• Lauren Ashley Griffin, DO
• Allen W Gross
• Chris Robert Guerrieri, DPM
• Jack Gullett
• Jennifer Brooke Halligan, DPM
• Jerald Hamblin
• Caleb Hammond

• General Practice Dentistry in Gladstone, MO
• Providers in Gladstone, MO by specialty
• General Practice Dentistry in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.