Organization Active NPI

Midwestern Podiatry Services LLC

  • Podiatrist
  • Wichita, KS
National Provider Identifier
1003354424
Registry record updated Feb 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
12-00429 Issued in KS
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

Updated by the provider on Feb 6, 2017

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)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
8550964OtherKSBUSINESS EID

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.