Rebecca Lindsay Grammer, D.M.D., M.D.

Primary specialty

Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X

License

2017019203 Issued in MO

Practice address

1034 S. Brentwood
Suite 1010
St. Louis, MO 63117-1210

Phone

(314) 721-1010

Fax

(314) 721-5276

NPI assigned

Jun 23, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Jul 13, 2020 through Jul 13, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Greater St Louis Oral & Maxillofacial Surgery PC

  • Oral and Maxillofacial Surgery (Dentist)
  • Saint Louis, MO
  • NPI 1518158989
  NPD (past)
• South County Dental Imaging Center

  • Radiology Clinic/Center
  • Saint Louis, MO
  • NPI 1053647008
  NPD (past)

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

{
    "created_epoch": "1308787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561939200000",
    "number": "1609162189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1034 S. BRENTWOOD",
            "address_2": "SUITE 1010",
            "city": "ST. LOUIS",
            "state": "MO",
            "postal_code": "631171210",
            "telephone_number": "314-721-1010",
            "fax_number": "314-721-5276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1034 S. BRENTWOOD",
            "address_2": "SUITE 1010",
            "city": "ST. LOUIS",
            "state": "MO",
            "postal_code": "631171210",
            "telephone_number": "314-721-1010",
            "fax_number": "314-721-5276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAMMER",
        "first_name": "REBECCA",
        "middle_name": "LINDSAY",
        "name_prefix": "Ms.",
        "credential": "D.M.D., M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-23",
        "last_updated": "2019-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "MO",
            "license": "2017019203",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Katrina Grahn
• Gary Emanuel Grajales-Reyes, M.D. PH.D.
• Lynn Marty Grames, MA, CCC-SLP
• David Edward Gramke
• Lexxie S. Gramke, PMHNP-BC, AGPCNP-BC
• Lori Leigh Gran, PHYSICAL THERAPIST
• Amber Grana, DO
• Julie Grana, MA OTR/L, LBA, BCBA
• Jorge Granadillo de Luque, MD
• Rachel Elizabeth Granberg, MD, MPH

• Oral & Maxillofacial Surgery (D.M.D.) in St. Louis, MO
• Providers in St. Louis, MO by specialty
• Oral & Maxillofacial Surgery (D.M.D.) in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.