Grace Dental, P.a.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

6166 Issued in KS

Legal business name

GRACE DENTAL, P.A.

Practice address

12611 Antioch Rd
Overland Park, KS 66213

Phone

(913) 685-9111

Fax

(913) 685-8486

NPI assigned

Mar 16, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Michael Danley, RDH

Title

General Manager

Phone

(913) 685-9111

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Stefanie Gray, D.D.S.

  • General Practice Dentistry
  • Overland Park, KS
  • NPI 1700901188
  NPD (past)
• Gloria Roberts, D.D.S.

  • General Practice Dentistry
  • Overland Park, KS
  • NPI 1134244288
  NPD (past)

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

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1275657496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12611 ANTIOCH RD",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "66213",
            "telephone_number": "913-685-9111",
            "fax_number": "913-685-8486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12611 ANTIOCH RD",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "66213",
            "telephone_number": "913-685-9111",
            "fax_number": "913-685-8486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE DENTAL, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DANLEY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "913-685-9111",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RDH"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "KS",
            "license": "6166",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "13970060",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "808110",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Justin Paul Grabouski, D.C.
• Catherine Grabow
• Grace & Grit Counseling LLC
• Grace Cottage Senior Care LLC
• Grace Dental Group, LLC
• Grace Family Acupuncture LLC (Yang Gong MBR)
• Grace Rehabilitation of Overland Park, LLC
• Graceful Wellness and Med Spa, LLC
• Edith Gracius, APRN, PMHNP-BC
• Stephen C Gradwohl, D.C.

• General Practice Dentistry in Overland Park, KS
• Providers in Overland Park, KS by specialty
• General Practice Dentistry in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.