Organization Active NPI

Joshua Gurnee DDS Mobile LLC

  • Dental Clinic/Center
  • Wichita, KS
National Provider Identifier
1013621895
Registry record updated Jul 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
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

Updated by the provider on Jul 1, 2024

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)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
Direct Messaging Address info@enabledental.com Direct

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.