Active NPI
Joshua Gurnee DDS Mobile LLC
- Dental Clinic/Center
- Wichita, KS
National Provider Identifier
1013621895
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- Legal business name
- JOSHUA GURNEE DDS MOBILE LLC
- Practice address
- 250 N. Rock Road
Ste 215
Wichita, KS 67206 - Phone
- (866) 988-4504
- Fax
- (866) 815-3719
- NPI assigned
- Jan 6, 2023
- 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
- Amy Christy-Duncan
- Title
- Director of Revenue
- Phone
- (737) 787-2049
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | Primary |
Addresses
Primary practice location
250 N. Rock Road
Ste 215
Wichita, KS 67206
Mailing address
5555 N Lamar Blvd Ste H125
Austin, TX 78751-1096
Phone (866) 988-4504
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | info@enabledental.com | Direct |
National Provider Directory
National Provider DirectoryLocations
250 N Rock Rd
Ste 215
Wichita, KS 67206
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1672963200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1719792000000",
"number": "1013621895",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5555 N LAMAR BLVD STE H125",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787511096",
"telephone_number": "866-988-4504",
"fax_number": "866-988-4504"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "250 N. ROCK ROAD",
"address_2": "STE 215",
"city": "WICHITA",
"state": "KS",
"postal_code": "67206",
"telephone_number": "866-988-4504",
"fax_number": "866-815-3719"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JOSHUA GURNEE DDS MOBILE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-01-06",
"last_updated": "2024-07-01",
"certification_date": "2024-07-01",
"status": "A",
"authorized_official_last_name": "CHRISTY-DUNCAN",
"authorized_official_first_name": "AMY",
"authorized_official_title_or_position": "DIRECTOR OF REVENUE",
"authorized_official_telephone_number": "737-787-2049"
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "info@enabledental.com",
"affiliation": "N",
"endpointDescription": "email address",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "250 N. Rock Road",
"address_2": "Ste 215",
"city": "Wichita",
"state": "KS",
"country_code": "US",
"postal_code": "67206",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Jul 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.