NPIMap

Organization Active NPI

Sedgwick County Developmental Disability Organization

  • Case Management Agency
  • Wichita, KS
National Provider Identifier
1023170206
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
SEDGWICK COUNTY DEVELOPMENTAL DISABILITY ORGANIZATION
Practice address
615 N Main St
Wichita, KS 67203-3602
Phone
(316) 660-7634
NPI assigned
Dec 14, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Sherry Lynn Arbuckle
Title
Sr. Administrative Officer
Phone
(316) 660-7634

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X NU Primary

Addresses

Primary practice location

615 N Main St
Wichita, KS 67203-3602

Mailing address

615 N Main St
Wichita, KS 67203-3602
Phone (316) 660-7634

Other names 1

  • SCDDO Other name

National Provider Directory

National Provider Directory
Tax ID family
Sedg Co Dept of M H12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

Organizations that report the same tax identification number in the National Provider Directory.

Locations

615 N Main St
Wichita, KS 67203
Phone (316) 660-7630

NPI Registry JSON

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1023170206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 N MAIN ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672033602",
            "telephone_number": "316-660-7634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 N MAIN ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672033602",
            "telephone_number": "316-660-7634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEDGWICK COUNTY DEVELOPMENTAL DISABILITY ORGANIZATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ARBUCKLE",
        "authorized_official_first_name": "SHERRY",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "SR. ADMINISTRATIVE OFFICER",
        "authorized_official_telephone_number": "316-660-7634",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SCDDO",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Aug 22, 2020; 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.