Active NPI
Robert E Grask, DDS
- General Practice Dentistry
- Des Moines, IA
National Provider Identifier
1740457167
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 6917
- Practice address
- 655 Walnut St
Suite 134B
Des Moines, IA 50309-3906 - Phone
- (515) 243-6311
- Fax
- (515) 244-1572
- NPI assigned
- May 14, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 6917 | IA | Primary |
Addresses
Primary practice location
655 Walnut St
Suite 134B
Des Moines, IA 50309-3906
Mailing address
655 Walnut St
Suite 134B
Des Moines, IA 50309-3906
Phone (515) 243-6311
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 24933 | Other | IA | BC BS FEP |
| 1639355 | Other | IA | UNITED CONCORDIA |
| 0207498 | Medicaid | IA | |
| 001771 | Other | IA | BLUE DENTAL & BC BS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6917 | IA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hub Dental Clinic, PC | General Practice | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- General Practice Dentistry
- Des Moines, IA
- NPI 1144323924
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210723200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1210723200000",
"number": "1740457167",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "655 WALNUT ST",
"address_2": "SUITE 134B",
"city": "DES MOINES",
"state": "IA",
"postal_code": "503093906",
"telephone_number": "515-243-6311",
"fax_number": "515-244-1572"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "655 WALNUT ST",
"address_2": "SUITE 134B",
"city": "DES MOINES",
"state": "IA",
"postal_code": "503093906",
"telephone_number": "515-243-6311",
"fax_number": "515-244-1572"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRASK",
"first_name": "ROBERT",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-05-14",
"last_updated": "2008-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "IA",
"license": "6917",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC BS FEP",
"identifier": "24933",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED CONCORDIA",
"identifier": "1639355",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0207498",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE DENTAL & BC BS",
"identifier": "001771",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Des Moines, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.