Midwest Dental Kansas Wichita Woodlawn PA

Primary specialty

DentistTaxonomy code 122300000X

License

7071 Issued in KS

Legal business name

MIDWEST DENTAL KANSAS WICHITA WOODLAWN PA

Doing business as

Midwest Dental

Practice address

401 N Woodlawn St
Wichita, KS 67208-4335

Phone

(316) 686-6601

Fax

(316) 686-6602

NPI assigned

Dec 3, 2012

Last updated

Dec 3, 2012By 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

Diana L Quillin, DDSNPI 1891783007

Title

Owner

Phone

(316) 686-6601

Specialties & licenses 1

Addresses

Other names 1

• Midwest 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.

• Diana L Quillin, DDS

  • Dentist
  • Van Nuys, CA
  • NPI 1891783007
  NPD (past) Authorized official

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

{
    "created_epoch": "1354492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354492800000",
    "number": "1013252097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 N WOODLAWN ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672084335",
            "telephone_number": "316-686-6601",
            "fax_number": "316-686-6602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 N WOODLAWN ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672084335",
            "telephone_number": "316-686-6601",
            "fax_number": "316-686-6602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST DENTAL KANSAS WICHITA WOODLAWN PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-03",
        "last_updated": "2012-12-03",
        "status": "A",
        "authorized_official_last_name": "QUILLIN",
        "authorized_official_first_name": "DIANA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "316-686-6601",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "KS",
            "license": "7071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Midwest Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Anna Middleton, DPT
• Erika Middleton
• Midkansas Neurocritical Services LLC
• Midwest Behavioral Sciences
• Midwest Counseling Services, LLC
• Midwest Gastroenterology Clinics PA
• Midwest Hearing AIDS Inc
• Midwest Hearing AIDS Inc
• Midwest Home Health Care LLC
• Midwest Homestead of Wichita Operations, LLC (Homestead of Whichita)

• Dentist in Wichita, KS
• Providers in Wichita, KS by specialty
• Dentist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2012; 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.