Organization Active NPI

Symmetris P.a.

  • Dentist
  • Wichita, KS
National Provider Identifier
1053734178
Registry record updated Jan 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
60042 Issued in KS
Legal business name
SYMMETRIS P.A.
Doing business as
Gentility
Practice address
7730 E 37TH St N
Wichita, KS 67226-2822
Phone
(316) 491-8200
Fax
(316) 491-8288
NPI assigned
Jan 24, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2014

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

Authorized official

Name
Carissa M Gill, DDS
Title
Owner
Phone
(316) 491-8200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 60042 KS Primary

Addresses

Primary practice location

7730 E 37TH St N
Wichita, KS 67226-2822

Mailing address

7730 E 37TH St N
Wichita, KS 67226-2822

Other names 1

  • Gentility Doing business as

National Provider Directory

National Provider Directory

Locations

7730 E 37th St N
Wichita, KS 67226
Phone (316) 491-8200

NPI Registry JSON

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

{
    "created_epoch": "1390521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390521600000",
    "number": "1053734178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7730 E 37TH ST N",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672262822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7730 E 37TH ST N",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672262822",
            "telephone_number": "316-491-8200",
            "fax_number": "316-491-8288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYMMETRIS P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-24",
        "last_updated": "2014-01-24",
        "status": "A",
        "authorized_official_last_name": "GILL",
        "authorized_official_first_name": "CARISSA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "316-491-8200",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "KS",
            "license": "60042",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gentility",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jan 24, 2014; 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.