NPIMap

Organization Active NPI

N.E. Grover,D.M.D.,P.C.

  • General Practice Dentistry
  • Saint James, MO
National Provider Identifier
1649334665
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
12644 Issued in MO
Legal business name
N.E. GROVER,D.M.D.,P.C.
Practice address
414 W James Blvd
Saint James, MO 65559-1219
Phone
(573) 265-8402
Fax
(573) 265-8802
NPI assigned
Dec 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Deanna Kay Grover
Title
Office Manager
Phone
(573) 265-8402

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 12644 MO Primary

Addresses

Primary practice location

414 W James Blvd
Saint James, MO 65559-1219

Mailing address

414 W James Blvd
Saint James, MO 65559-1219
Phone (573) 265-8402

Practitioners 3

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

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1649334665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "414 W JAMES BLVD",
            "city": "SAINT JAMES",
            "state": "MO",
            "postal_code": "655591219",
            "telephone_number": "573-265-8402",
            "fax_number": "573-265-8802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "414 W JAMES BLVD",
            "city": "SAINT JAMES",
            "state": "MO",
            "postal_code": "655591219",
            "telephone_number": "573-265-8402",
            "fax_number": "573-265-8802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "N.E. GROVER,D.M.D.,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GROVER",
        "authorized_official_first_name": "DEANNA",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "573-265-8402",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "12644",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint James, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.