Lindsay Rose Grant Stawarski, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

2013015328 Issued in MO

Practice address

615 S New Ballas Rd
Saint Louis, MO 63141-8221

Phone

(314) 251-5775

Fax

(314) 251-5776

NPI assigned

Jun 26, 2013

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

Other names 1

• Dr. Lindsay Rose Grant Former name

Medicare fee-for-service enrollment

Enrolled in MO

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Jefferson County Health Department

  • Public Health or Welfare Agency
  • Hillsboro, MO
  • NPI 1235118324
  Medicare reassignment
• Compass Health, Inc

  • Federally Qualified Health Center (FQHC)
  • High Ridge, MO
  • NPI 1356751648
  NPD (past)
• Missouri Dental Professionals, Richard Straus, DMD, PC

  • General Practice Dentistry
  • Saint Peters, MO
  • NPI 1780804088
  NPD (past)

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

{
    "created_epoch": "1372204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449619200000",
    "number": "1306286174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "589 MID RIVERS MALL DR.",
            "address_2": "LIFETIME DENTISTRY",
            "city": "ST. PETER",
            "state": "MO",
            "postal_code": "63376",
            "telephone_number": "636-970-1595",
            "fax_number": "636-279-1117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 S NEW BALLAS RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631418221",
            "telephone_number": "314-251-5775",
            "fax_number": "314-251-5776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANT STAWARSKI",
        "first_name": "LINDSAY",
        "middle_name": "ROSE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-06-26",
        "last_updated": "2015-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MO",
            "license": "2013015328",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LINDSAY",
            "last_name": "GRANT",
            "middle_name": "ROSE",
            "prefix": "DR.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Laura Kathryn Granger Howard, MD
• Deanna Granger, PHD
• Jodi E Granger, AGNP
• Jay Patrick Granier, M.D.
• Aleeza Cari Granote, LCSW
• Abigail Theresa Grant, MD
• Betty Grant
• Brittany Grant
• Conor Grant
• Cori L Grant, MD

• Dentist in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Dentist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2015; 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.