Organization Active NPI

Grant Laham, DMD, LLC

  • General Practice Dentistry
  • Overland Park, KS
National Provider Identifier
1497484737
Registry record updated Aug 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
GRANT LAHAM, DMD, LLC
Practice address
10351 Mastin St
Overland Park, KS 66212
Phone
(316) 209-0474
NPI assigned
Jun 9, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2022

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

Authorized official

Name
Grant Laham, DMDNPI 1235650003
Title
Member
Phone
(316) 209-0474

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

10351 Mastin St
Overland Park, KS 66212

Mailing address

9911 E 21St St N Apt 412
Wichita, KS 67206-3525
Phone (316) 209-0474

National Provider Directory

National Provider Directory

Locations

10351 Mastin St
Overland Park, KS 66212
Phone (316) 209-0474

4160 Heritage Trace Pkwy
Ste 408
Fort Worth, TX 76244
Phone (817) 741-4288

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1654732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661472000000",
    "number": "1497484737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9911 E 21ST ST N APT 412",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672063525",
            "telephone_number": "316-209-0474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10351 MASTIN ST",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "66212",
            "telephone_number": "316-209-0474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRANT LAHAM, DMD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-09",
        "last_updated": "2022-08-26",
        "certification_date": "2022-08-26",
        "status": "A",
        "authorized_official_last_name": "LAHAM",
        "authorized_official_first_name": "GRANT",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "316-209-0474",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Overland Park, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2022; 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.