NPIMap

Organization Active NPI

Grant M Webster DMD Family Dentistry LLC

  • Dental Clinic/Center
  • Independence, KS
National Provider Identifier
1568086866
Registry record updated Jun 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
GRANT M WEBSTER DMD FAMILY DENTISTRY LLC
Practice address
109 W Main St
Independence, KS 67301-3510
Phone
(620) 331-3180
NPI assigned
Jun 2, 2020
Last updated
Jun 2, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2020

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

Authorized official

Name
Dr. Grant M Webster, DMDNPI 1164943866
Title
Owner/ General Dentist
Phone
(620) 330-7467

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
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

109 W Main St
Independence, KS 67301-3510

Mailing address

109 W Main St
Independence, KS 67301-3510
Phone (620) 331-3180

National Provider Directory

National Provider Directory

Locations

109 W Main St
Independence, KS 67301
Phone (620) 331-3180

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1591056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591056000000",
    "number": "1568086866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 W MAIN ST",
            "city": "INDEPENDENCE",
            "state": "KS",
            "postal_code": "673013510",
            "telephone_number": "620-331-3180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 W MAIN ST",
            "city": "INDEPENDENCE",
            "state": "KS",
            "postal_code": "673013510",
            "telephone_number": "620-331-3180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRANT M WEBSTER DMD FAMILY DENTISTRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-02",
        "last_updated": "2020-06-02",
        "certification_date": "2020-06-02",
        "status": "A",
        "authorized_official_last_name": "WEBSTER",
        "authorized_official_first_name": "GRANT",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER/ GENERAL DENTIST",
        "authorized_official_telephone_number": "620-330-7467",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Independence, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2020; 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.