Growing Smiles, LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

60453 Issued in KS

Legal business name

GROWING SMILES, LLC

Practice address

1425 Wakarusa Dr
Suite D
Lawrence, KS 66049-3832

Phone

(785) 856-5600

Fax

(785) 856-5601

NPI assigned

Sep 10, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Kelli Henderson, D.D.S.

Title

Owner/Manager

Phone

(785) 856-5600

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1189382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191456000000",
    "number": "1518152883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1425 WAKARUSA DR",
            "address_2": "SUITE D",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660493832",
            "telephone_number": "785-856-5600",
            "fax_number": "785-856-5601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1425 WAKARUSA DR",
            "address_2": "SUITE D",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660493832",
            "telephone_number": "785-856-5600",
            "fax_number": "785-856-5601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GROWING SMILES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-10",
        "last_updated": "2007-10-04",
        "status": "A",
        "authorized_official_last_name": "HENDERSON",
        "authorized_official_first_name": "KELLI",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "785-856-5600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "KS",
            "license": "60453",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donna Griebel, MD
• Jennifer Lynn Groene, LCMFT
• Kristin Lynn Grosche, M.A.
• Charis Grosdidier, APRN
• Amber Nicole Groszek, PT, DPT
• Elizabeth Marie Guastello, MD
• Justin M Gudenkauf, LMSW
• Chad Ambrose Gustin, M.D.
• Kathy Guth, A.R.N.P.
• Karen Denise Gutierrez Avila

• Dental Clinic/Center in Lawrence, KS
• Providers in Lawrence, KS by specialty
• Dental Clinic/Center in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2007; 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.