Grand Rapids Dental Care LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

GRAND RAPIDS DENTAL CARE LLC

Practice address

220 SE 21St St
Grand Rapids, MN 55744-4268

Phone

(218) 326-3438

NPI assigned

Mar 4, 2020

Organization subpart

No

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

Authorized official

Name

Colleen Lamke

Title

Office Manager

Phone

(218) 326-3438

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Locations

Practitioners 2

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

• Spencer Buchert, D.D.S.

  • Dentist
  • Grand Rapids, MN
  • NPI 1770036287
  NPD
• Michael Theodore Hagley, DDS

  • General Practice Dentistry
  • Grand Rapids, MN
  • NPI 1972616605
  NPD (past)

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

{
    "created_epoch": "1583280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583280000000",
    "number": "1659906204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 SE 21ST ST",
            "city": "GRAND RAPIDS",
            "state": "MN",
            "postal_code": "557444268",
            "telephone_number": "218-326-3438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 SE 21ST ST",
            "city": "GRAND RAPIDS",
            "state": "MN",
            "postal_code": "557444268",
            "telephone_number": "218-326-3438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAND RAPIDS DENTAL CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-04",
        "last_updated": "2020-03-04",
        "certification_date": "2020-03-04",
        "status": "A",
        "authorized_official_last_name": "LAMKE",
        "authorized_official_first_name": "COLLEEN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "218-326-3438"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPIN",
            "identifier": "T65577",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "drmike@grdental.com",
            "affiliation": "N",
            "address_1": "220 SE 21st St",
            "city": "Grand Rapids",
            "state": "MN",
            "country_code": "US",
            "postal_code": "557444268",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Grand Itasca Clinic and Hospital
• Grand Itasca Clinic and Hospital
• Grand Itasca Clinic and Hospital
• Grand Rapids Chiropractic
• Grand Rapids Chiropractic, PLLC
• Grand St Paul CVS LLC
• Timothy Raymond Graupmann, D.C.
• Katie Ann Reilley Greniger, MSN, FNP-BC
• Grey Matter, LLC
• Carolyn Grieve, LPMED

• Dental Clinic/Center in Grand Rapids, MN
• Providers in Grand Rapids, MN by specialty
• Dental Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 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.