NPIMap

Organization Active NPI

La Cambra Co

  • Sleep Medicine (Family Medicine) Physician
  • Wichita, KS
National Provider Identifier
1013264399
Registry record updated Sep 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Medicine (Family Medicine) PhysicianTaxonomy code 207QS1201X
License
50401 Issued in KS
Legal business name
LA CAMBRA CO
Practice address
727 N Waco Ave
Wichita, KS 67203-3951
Phone
(913) 424-7000
NPI assigned
Aug 6, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2012

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

Authorized official

Name
Mark Dombo
Title
Ceo
Phone
(913) 424-7000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Medicine (Family Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207QS1201X 50401 KS Primary

Addresses

Primary practice location

727 N Waco Ave
Wichita, KS 67203-3951

Mailing address

727 N Waco Ave
Wichita, KS 67203-3951
Phone (913) 424-7000

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1344211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347926400000",
    "number": "1013264399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "727 N WACO AVE",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672033951",
            "telephone_number": "913-424-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "727 N WACO AVE",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672033951",
            "telephone_number": "913-424-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LA CAMBRA CO",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-06",
        "last_updated": "2012-09-18",
        "status": "A",
        "authorized_official_last_name": "DOMBO",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "913-424-7000"
    },
    "taxonomies": [
        {
            "code": "207QS1201X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Sleep Medicine",
            "state": "KS",
            "license": "50401",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Sep 18, 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.