Active NPI
Midwestern Podiatry Services LLC
- Podiatrist
- Wichita, KS
National Provider Identifier
1003354424
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 12-00429
- Legal business name
- MIDWESTERN PODIATRY SERVICES LLC
- Practice address
- 1740 N Fairview Ave
Suite 200
Wichita, KS 67203-2573 - Phone
- (206) 375-8681
- NPI assigned
- Feb 6, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Thuy Duong Thi Le, DPM
- Title
- Podiatrist
- Phone
- (206) 375-8681
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 12-00429 | KS | Primary |
Addresses
Primary practice location
1740 N Fairview Ave
Suite 200
Wichita, KS 67203-2573
Mailing address
1900 N Amidon Ave
Suite 200
Wichita, KS 67203-2140
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8550964 | Other | KS | BUSINESS EID |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1486339200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1486339200000",
"number": "1003354424",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1900 N AMIDON AVE",
"address_2": "SUITE 200",
"city": "WICHITA",
"state": "KS",
"postal_code": "672032140"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1740 N FAIRVIEW AVE",
"address_2": "SUITE 200",
"city": "WICHITA",
"state": "KS",
"postal_code": "672032573",
"telephone_number": "206-375-8681"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MIDWESTERN PODIATRY SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-02-06",
"last_updated": "2017-02-06",
"status": "A",
"authorized_official_last_name": "LE",
"authorized_official_first_name": "THUY DUONG",
"authorized_official_middle_name": "THI",
"authorized_official_title_or_position": "PODIATRIST",
"authorized_official_telephone_number": "206-375-8681",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist",
"state": "KS",
"license": "12-00429",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BUSINESS EID",
"identifier": "8550964",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wichita, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 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.