J.Reese Graue D.D.S. LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

MO2008014151 Issued in MO

Legal business name

J.REESE GRAUE D.D.S. LLC

Doing business as

Gladstone Family Dentistry

Practice address

6301 N Oak Trfy
Suite 202
Gladstone, MO 64118-4759

Phone

(816) 452-2420

Fax

(816) 777-0836

NPI assigned

Aug 11, 2011

Organization subpart

No

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

Authorized official

Name

Dr. John Reese Graue, D.D.S.NPI 1033379581

Title

Owner

Phone

(816) 452-2420

Specialties & licenses 1

Addresses

Other names 1

• Gladstone Family Dentistry Doing business as

Practitioners 2

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

• John Reese Graue II, D.D.S.

  • General Practice Dentistry
  • Gladstone, MO
  • NPI 1033379581
  NPD (past) Authorized official
• Jerald Hamblin

  • Dentist
  • Gladstone, MO
  • NPI 1922281971
  NPD (past)

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

{
    "created_epoch": "1313020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313020800000",
    "number": "1528347242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6301 N OAK TRFY",
            "address_2": "SUITE 202",
            "city": "GLADSTONE",
            "state": "MO",
            "postal_code": "641184759",
            "telephone_number": "816-452-2420",
            "fax_number": "816-777-0836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6301 N OAK TRFY",
            "address_2": "SUITE 202",
            "city": "GLADSTONE",
            "state": "MO",
            "postal_code": "641184759",
            "telephone_number": "816-452-2420",
            "fax_number": "816-777-0836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J.REESE GRAUE D.D.S. LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-11",
        "last_updated": "2011-08-11",
        "status": "A",
        "authorized_official_last_name": "GRAUE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "REESE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "816-452-2420",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "MO2008014151",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gladstone Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Laura Kay Hyland, FNP-C
• Frank J Infranca, D.C.
• Inspire Adult Day Center LLC (Inspire Adult Day Center)
• Inspire Adult Day Center LLC (Inspire Adult Day Center)
• Jackson Family Dental Gladstone LLC
• James D Rubin O.D. PC
• James S Waddell DC PC (North Oak Chiropractic)
• Tayler James, PT, DPT
• Jayhawk Primary Care Inc (Creekwood Family Care)

• General Practice Dentistry in Gladstone, MO
• Providers in Gladstone, MO by specialty
• General Practice Dentistry in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 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.

Verify at the official NPI Registry.