Organization Active NPI

Cardio-Kidney Vascular Obl LLC

  • Cardiovascular Disease Physician
  • Wichita, KS
National Provider Identifier
1013686781
Registry record updated Apr 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
CARDIO-KIDNEY VASCULAR OBL LLC
Practice address
3161 N Webb Rd Ste 220
Wichita, KS 67226-8104
Phone
(800) 263-3366
NPI assigned
Sep 7, 2021
Last updated
Apr 4, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2024

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

Authorized official

Name
Dr. Dennis L. Ross, MD
Title
Chairperson
Phone
(316) 655-2469

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X NU
Cardiovascular Disease Physician 207RC0000X NU Primary
Interventional Cardiology Physician 207RI0011X NU

Addresses

Primary practice location

3161 N Webb Rd Ste 220
Wichita, KS 67226-8104

Mailing address

3161 N Webb Rd Ste 220
Wichita, KS 67226-8105
Phone (316) 402-0440

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1630972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712188800000",
    "number": "1013686781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3161 N WEBB RD STE 220",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672268105",
            "telephone_number": "316-402-0440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3161 N WEBB RD STE 220",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672268104",
            "telephone_number": "800-263-3366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDIO-KIDNEY VASCULAR OBL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-07",
        "last_updated": "2024-04-04",
        "certification_date": "2024-04-04",
        "status": "A",
        "authorized_official_last_name": "ROSS",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "CHAIRPERSON",
        "authorized_official_telephone_number": "316-655-2469",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "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 Apr 4, 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.