Grant Ventures LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

GRANT VENTURES LLC

Doing business as

Grant Construction Company

Practice address

5 Sage Meadows CT
O Fallon, MO 63366-4189

Phone

(314) 474-0015

NPI assigned

Jan 10, 2023

Organization subpart

No

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

Authorized official

Name

Mr. David Dupriest Grant, LCSSWNPI 1639622152

Title

Owner

Phone

(314) 474-0015

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Grant Construction Company Doing business as

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Practitioners 1

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

• David Dupriest Grant, LCSW

  • Clinical Social Worker
  • O Fallon, MO
  • NPI 1639622152
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1673308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673308800000",
    "number": "1518671924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 SAGE MEADOWS CT",
            "city": "O FALLON",
            "state": "MO",
            "postal_code": "633664189",
            "telephone_number": "314-474-0015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 SAGE MEADOWS CT",
            "city": "O FALLON",
            "state": "MO",
            "postal_code": "633664189",
            "telephone_number": "314-474-0015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRANT VENTURES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-10",
        "last_updated": "2023-01-10",
        "certification_date": "2023-01-10",
        "status": "A",
        "authorized_official_last_name": "GRANT",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "DUPRIEST",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-474-0015",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "490112443",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Grant Construction Company",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Natalie Gough, LCSW
• Bradly Gould, DC
• Sara C Gozdecki, FNP-C
• John Ellington Graham III, MA, MSED
• Tina Kathleen Graham, PLPC
• David Dupriest Grant, LCSW
• Rebecca Graue, PT, DPT
• Amy Elizabeth Grawey, M.D.
• Gary D Gray, MD
• Alexandra Grbcich

• Clinical Social Worker in O Fallon, MO
• Providers in O Fallon, MO by specialty
• Clinical Social Worker in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.