NPIMap

Organization Active NPI

Grant Gastineau, DDS, LLC

  • Dental Clinic/Center
  • Chanute, KS
National Provider Identifier
1922536580
Registry record updated May 26, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
61398 Issued in KS
Legal business name
GRANT GASTINEAU, DDS, LLC
Practice address
32 W Main St
Chanute, KS 66720-1701
Phone
(620) 431-4823
NPI assigned
May 26, 2017
Last updated
May 26, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 26, 2017

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

Authorized official

Name
Dr. Grant Gastineau, DDSNPI 1730617390
Title
Chief Officer
Phone
(620) 431-4823

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X KS
Dental Clinic/Center 261QD0000X NU
Dental Clinic/Center 261QD0000X 61398 KS Primary

Addresses

Primary practice location

32 W Main St
Chanute, KS 66720-1701

Mailing address

32 W Main St
Chanute, KS 66720-1701

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1495756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1495756800000",
    "number": "1922536580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 W MAIN ST",
            "city": "CHANUTE",
            "state": "KS",
            "postal_code": "667201701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 W MAIN ST",
            "city": "CHANUTE",
            "state": "KS",
            "postal_code": "667201701",
            "telephone_number": "620-431-4823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRANT GASTINEAU, DDS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-26",
        "last_updated": "2017-05-26",
        "status": "A",
        "authorized_official_last_name": "GASTINEAU",
        "authorized_official_first_name": "GRANT",
        "authorized_official_title_or_position": "CHIEF OFFICER",
        "authorized_official_telephone_number": "620-431-4823",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "KS",
            "license": null,
            "primary": false
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "KS",
            "license": "61398",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chanute, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2017; 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.