Organization Active NPI

Arthur S Jimenez DDS PA

  • Dentist
  • Wichita, KS
National Provider Identifier
1053759720
Registry record updated Jun 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
5357 Issued in KS
Legal business name
ARTHUR S JIMENEZ DDS PA
Practice address
5331 E 21St St N
Wichita, KS 67208-1647
Phone
(316) 681-2688
Fax
(316) 681-0869
NPI assigned
Jun 4, 2013
Last updated
Jun 4, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2013

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

Authorized official

Name
Dr. Arthur Steven Jimenez, DDSNPI 1376635656
Title
Dentist
Phone
(316) 681-2688

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 5357 KS Primary

Addresses

Primary practice location

5331 E 21St St N
Wichita, KS 67208-1647

Mailing address

5331 E 21St St N
Wichita, KS 67208-1647
Phone (316) 681-2688

National Provider Directory

National Provider Directory

Locations

5331 E 21st St N
Wichita, KS 67208
Phone (316) 681-2688

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1370304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370304000000",
    "number": "1053759720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5331 E 21ST ST N",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672081647",
            "telephone_number": "316-681-2688",
            "fax_number": "316-681-0869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5331 E 21ST ST N",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672081647",
            "telephone_number": "316-681-2688",
            "fax_number": "316-681-0869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARTHUR S JIMENEZ DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-04",
        "last_updated": "2013-06-04",
        "status": "A",
        "authorized_official_last_name": "JIMENEZ",
        "authorized_official_first_name": "ARTHUR",
        "authorized_official_middle_name": "STEVEN",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "316-681-2688",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "KS",
            "license": "5357",
            "primary": true
        }
    ],
    "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 Jun 4, 2013; 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.