Active NPI
Jasmine Wyatt Griechen, RDH
- Dental Hygienist
- Belton, MO
National Provider Identifier
1376720581
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- RDH22749
- Practice address
- 802 E Walnut St
Belton, MO 64012-2544 - Phone
- (816) 322-7600
- Fax
- (816) 322-7606
- NPI assigned
- Jan 30, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | RDH22749 | CA | Primary |
| Dental Hygienist | 124Q00000X | 2009024711 | MO |
Addresses
Primary practice location
802 E Walnut St
Belton, MO 64012-2544
Mailing address
710 SW Misty GLN
Grain Valley, MO 64029-2500
Phone (816) 322-7600
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477563518 | Medicaid | CA | |
| FHC70081F | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RDH22749 | CA | MD | Dental Hygienist |
| 2009024711 | MO | MD | Dental Hygienist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1201651200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1308528000000",
"number": "1376720581",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "710 SW MISTY GLN",
"city": "GRAIN VALLEY",
"state": "MO",
"postal_code": "640292500",
"telephone_number": "816-322-7600",
"fax_number": "816-322-7606"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "802 E WALNUT ST",
"city": "BELTON",
"state": "MO",
"postal_code": "640122544",
"telephone_number": "816-322-7600",
"fax_number": "816-322-7606"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRIECHEN",
"first_name": "JASMINE",
"middle_name": "WYATT",
"name_prefix": "Mrs.",
"credential": "RDH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-01-30",
"last_updated": "2011-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "CA",
"license": "RDH22749",
"primary": true
},
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "MO",
"license": "2009024711",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1477563518",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "FHC70081F",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Belton, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 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.