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  7. NPI Record 1336702869

JUSTIN ARIK GRIPENTROG CCC-SLP
Complete NPI Record 1336702869
Speech-Language Pathologist in Overland Park, KS

NPI Status: Active since April 19, 2019

Contact Information

6901 SHAWNEE MISSION PKWY
OVERLAND PARK, KS
ZIP 66202
Phone: (888) 913-1910

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Table of Contents

  1. NPI
  2. Entity Type Code
  3. Provider Last Name Legal Name
  4. Provider First Name
  5. Provider Middle Name
  6. Provider Credential Text
  7. Provider First Line Business Mailing Address
  8. Provider Business Mailing Address City Name
  9. Provider Business Mailing Address State Name
  10. Provider Business Mailing Address Postal Code
  11. Provider Business Mailing Address Country Code If outside U S
  12. Provider Business Mailing Address Telephone Number
  13. Provider First Line Business Practice Location Address
  14. Provider Business Practice Location Address City Name
  15. Provider Business Practice Location Address State Name
  16. Provider Business Practice Location Address Postal Code
  17. Provider Business Practice Location Address Country Code If outside U S
  18. Provider Business Practice Location Address Telephone Number
  19. Provider Enumeration Date
  20. Last Update Date
  21. Provider Gender Code
  22. Healthcare Provider Taxonomy Code 1
  23. Provider License Number 1
  24. Provider License Number State Code 1
  25. Healthcare Provider Primary Taxonomy Switch 1
  26. Healthcare Provider Taxonomy Code 2
  27. Provider License Number 2
  28. Provider License Number State Code 2
  29. Healthcare Provider Primary Taxonomy Switch 2
  30. Healthcare Provider Taxonomy Code 3
  31. Provider License Number 3
  32. Provider License Number State Code 3
  33. Healthcare Provider Primary Taxonomy Switch 3
  34. Is Sole Proprietor
  35. NPI Certification Date

Complete NPI Dataset

This page represents the complete record for NPI 1336702869. You can access the complete dataset, including a full list of field names, along with their values, and definitions as recorded by the NPI registry. Each field in the NPI record is explained, highlighting its significance and the possible values it can hold.

NPI: 1336702869
The 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. The NPI number includes an ISO standard check-digit in the 10th position. There is no intelligence about the health care provider in the number.
Entity Type Code: 1
Code describing the type of health care provider that is being assigned an NPI. Codes are 1 = (Person): individual human being who furnishes health care; 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
The last name of the provider. If the provider is an individual, this is the legal name.
Provider First Name: JUSTIN
The first name of the provider, if the provider is an individual.
Provider Middle Name: ARIK
The middle name of the provider, if the provider is an individual.
Provider Credential Text: CCC-SLP
The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.
Provider First Line Business Mailing Address: 93 SUMMIT ST APT 3
The first line mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider first line location address’’.
Provider Business Mailing Address City Name: PAWTUCKET
The city name in the mailing address of the provider being identified.
Provider Business Mailing Address State Name: RI
Code describing the type of health care provider that is being assigned an NPI. Codes are 1 = (Person): individual human being who furnishes health care; 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
Provider Business Mailing Address Postal Code: 028604200
The last name of the provider. If the provider is an individual, this is the legal name.
Provider Business Mailing Address Country Code If outside U S : US
The first name of the provider, if the provider is an individual.
Provider Business Mailing Address Telephone Number: 9893274789
The middle name of the provider, if the provider is an individual.
Provider First Line Business Practice Location Address: 6901 SHAWNEE MISSION PKWY
The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.
Provider Business Practice Location Address City Name: OVERLAND PARK
The first line mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider first line location address’’.
Provider Business Practice Location Address State Name: KS
The second line mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider second line location address’’.
Provider Business Practice Location Address Postal Code: 662024005
The city name in the mailing address of the provider being identified.
Provider Business Practice Location Address Country Code If outside U S : US
The State or Province name in the mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider location address State name’’.
Provider Business Practice Location Address Telephone Number: 8889131910
The postal ZIP or zone code in the mailing address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. This data element may contain the same information as ‘‘Provider location address postal code’’.
Provider Enumeration Date: 4/19/2019
The country code in the mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider location address country code’’.
Last Update Date: 3/8/2023
The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider location address telephone number’’.
Provider Gender Code: M
The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider location address fax number’’.
Healthcare Provider Taxonomy Code 1: 235Z00000X
The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider License Number 1: SLP.0003909
The second line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider License Number State Code 1: CO
The city name in the location address of the provider being identified.
Healthcare Provider Primary Taxonomy Switch 1: N
The State code in the location of the provider being identified.
Healthcare Provider Taxonomy Code 2: 235Z00000X
The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
Provider License Number 2: LL60952352
The country code in the location address of the provider being identified.
Provider License Number State Code 2: WA
The telephone number associated with the location address of the provider being identified.
Healthcare Provider Primary Taxonomy Switch 2: N
The fax number associated with the location address of the provider being identified.
Healthcare Provider Taxonomy Code 3: 235Z00000X
The date the provider was assigned a unique identifier (assigned an NPI).
Provider License Number 3: SP01756
The date that a record was last updated or changed.
Provider License Number State Code 3: RI
The code designating the provider’s gender if the provider is a person.
Healthcare Provider Primary Taxonomy Switch 3: Y
Code designating the provider type, classification, and specialization. Codes are from the Healthcare Provider Taxonomy code list. The NPS will associate these data with the license data for providers with Entity type code = 1.
Is Sole Proprietor: N
Code indicating whether the provider is operating as a sole proprietor. Codes are: Y = Yes; N = No
NPI Certification Date: 3/8/2023