Grant Robert Smith, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

60155 Issued in KS

Practice address

3700 W 83Rd St
Suite 103
Prairie Village, KS 66208-5121

Phone

(913) 649-5600

Fax

(913) 649-2069

NPI assigned

Jul 13, 2006

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

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 May 8, 2015 through May 8, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Grant R Smith DDS PA

  • Dental Clinic/Center
  • Prairie Village, KS
  • NPI 1174177281
  NPD Authorized official
• Robert G. Smith, DDS, CHTD.

  • General Practice Dentistry
  • Prairie Village, KS
  • NPI 1902981319
  NPD (past)

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1730104175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3700 W 83RD ST",
            "address_2": "SUITE 103",
            "city": "PRAIRIE VILLAGE",
            "state": "KS",
            "postal_code": "662085121",
            "telephone_number": "913-649-5600",
            "fax_number": "913-649-2069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 W 83RD ST",
            "address_2": "SUITE 103",
            "city": "PRAIRIE VILLAGE",
            "state": "KS",
            "postal_code": "662085121",
            "telephone_number": "913-649-5600",
            "fax_number": "913-649-2069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "GRANT",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KS",
            "license": "60155",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Everette Theodore Sitzman Jr., MD
• Janet H Siuda, CRNA
• Sabrina Slapper, COTA
• Lance Barton Slaymaker, D O
• Sleep Well KC LLC
• Janet L Smith, PTA
• Morgan Smith
• Patricia Anne Smith, ARNP
• Emma Sobetski, OT
• Jason Aaron Sokol, MD

• General Practice Dentistry in Prairie Village, KS
• Providers in Prairie Village, KS by specialty
• General Practice Dentistry in Kansas

• 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.
• 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.