Grant T Kirk DDS LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

GRANT T KIRK DDS LLC

Doing business as

Joplin Family Dental

Practice address

4402 E 32ND St Ste B
Joplin, MO 64804-4453

Phone

(417) 781-2900

NPI assigned

Jun 15, 2020

Last updated

Jun 15, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Cindy Sooter, FAADOM

Title

Office Manager

Phone

(417) 781-2900

Specialties & licenses 1

Addresses

Other names 1

• Joplin Family Dental Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Grant Kirk, DDS

  • General Practice Dentistry
  • Joplin, MO
  • NPI 1073993416
  NPD

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

{
    "created_epoch": "1592179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592179200000",
    "number": "1851916969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4402 E 32ND ST STE B",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648044453",
            "telephone_number": "417-781-2900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4402 E 32ND ST STE B",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648044453",
            "telephone_number": "417-781-2900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRANT T KIRK DDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-15",
        "last_updated": "2020-06-15",
        "certification_date": "2020-06-15",
        "status": "A",
        "authorized_official_last_name": "SOOTER",
        "authorized_official_first_name": "CINDY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "417-781-2900",
        "authorized_official_credential": "FAADOM"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Joplin Family Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Guy Michael Grabau, MD
• Gracie Chase Avery, LLC (4States Vision Express)
• Jeremy Cash Graddy, DPT
• Geoffrey Glen Graham, DO
• Grand Falls Center for Recovery LLC
• David Glenn Grant, O.D.
• Delnorah Grant
• Rodney Grant, CRNA
• Thomas P Grant, DDS
• John R Graue II, M.S. AND TH.D

• Dental Clinic/Center in Joplin, MO
• Providers in Joplin, MO by specialty
• Dental Clinic/Center in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 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.