Kent W. Gragg, D.D.S.

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

6265 Issued in IA

Practice address

237 West Mulberry
Ogden, IA 50212-0813

Phone

(515) 275-2250

Fax

(515) 275-2816

NPI assigned

May 22, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

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

Medicare enrollment (NPD)

Not enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ogden Family Dental PLC

  • Dentist
  • Ogden, IA
  • NPI 1528145976
  NPD (past)

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1639388697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "422 OLYMPIC DR",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507014972",
            "telephone_number": "319-232-6239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "237 WEST MULBERRY",
            "city": "OGDEN",
            "state": "IA",
            "postal_code": "502120813",
            "telephone_number": "515-275-2250",
            "fax_number": "515-275-2816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAGG",
        "first_name": "KENT",
        "middle_name": "W.",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "IA",
            "license": "6265",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Helen Burk Clark, PT
• Katie Joanne Eatock, O.T.
• Brady Stuart France, D.D.S.
• Functional Chiropractic PLLC
• Jeffrey R Gragg, DDS
• GRX Holdings, LLC
• GRX Holdings, LLC (Medicap Pharmacy)
• Haydee G Hernandez, D.O.
• Hunter Chiropractic, P.L.C. (Ogden Family Chiropractic)
• Aubrey Hunter, DC

• Periodontics in Ogden, IA
• Providers in Ogden, IA by specialty
• Periodontics in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.