Grant Snider DDS, LLC

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

60925 Issued in KS

Legal business name

GRANT SNIDER DDS, LLC

Practice address

2701 North Rock Road
Suite 600
Derby, KS 67037

Phone

(316) 260-6566

NPI assigned

May 7, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Grant Snider, DDS

Title

Orthodontist

Phone

(316) 260-6566

Specialties & licenses 1

Addresses

Other names 1

• Derby Orthodontics Doing business as

Locations

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

{
    "created_epoch": "1430956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430956800000",
    "number": "1700264017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2701 NORTH ROCK ROAD",
            "address_2": "SUITE 600",
            "city": "DERBY",
            "state": "KS",
            "postal_code": "67037",
            "telephone_number": "316-260-6566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2701 NORTH ROCK ROAD",
            "address_2": "SUITE 600",
            "city": "DERBY",
            "state": "KS",
            "postal_code": "67037",
            "telephone_number": "316-260-6566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRANT SNIDER DDS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-07",
        "last_updated": "2015-05-07",
        "status": "A",
        "authorized_official_last_name": "SNIDER",
        "authorized_official_first_name": "GRANT",
        "authorized_official_title_or_position": "ORTHODONTIST",
        "authorized_official_telephone_number": "316-260-6566",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "KS",
            "license": "60925",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Derby Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Pamela S Goebel-Roberts, ARNP
• Alexis Gomes, RN,BSN
• Joel Arnold Gouvion, PHARMD
• Andrew Thomas Graff
• Joshua Ardell Grammer, D.C.
• Joshua Gray
• Grene Vision Group LLC
• Guardian Home Care of KS LLC
• Cody Gunnell
• Teiah Hadley, NP-C

• Orthodontics and Dentofacial Orthopedics Dentistry in Derby, KS
• Providers in Derby, KS by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2015; 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.