NPIMap

Organization Active NPI

Baron Grutter DDS LLC

  • General Practice Dentistry
  • Gladstone, MO
National Provider Identifier
1306130091
Registry record updated May 31, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2010016293 Issued in MO
Legal business name
BARON GRUTTER DDS LLC
Practice address
5601 NE Antioch Rd
Suite 5
Gladstone, MO 64119-2300
Phone
(816) 455-1200
Fax
(816) 455-1021
NPI assigned
May 31, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 31, 2011

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

Authorized official

Name
Dr. Baron G Grutter, DDS
Title
Owner/Dentist
Phone
(816) 455-1200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 2010016293 MO Primary

Addresses

Primary practice location

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

Mailing address

5601 NE Antioch Rd
Suite 5
Gladstone, MO 64119-2300
Phone (816) 401-2561

National Provider Directory

National Provider Directory

Locations

5601 N Antioch Rd
Ste 5
Gladstone, MO 64119
Phone (816) 455-1200

NPI Registry JSON

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

{
    "created_epoch": "1306800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306800000000",
    "number": "1306130091",
    "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": "816-401-2561"
        },
        {
            "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": {
        "organization_name": "BARON GRUTTER DDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-31",
        "last_updated": "2011-05-31",
        "status": "A",
        "authorized_official_last_name": "GRUTTER",
        "authorized_official_first_name": "BARON",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "816-455-1200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "2010016293",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gladstone, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2011; 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.