Personal Image Inc.

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

License

CFM00705 Issued in KS

Legal business name

PERSONAL IMAGE INC.

Practice address

1905 N Maize Rd
Wichita, KS 67212-5203

Phone

(316) 260-8260

Fax

(316) 260-8266

NPI assigned

May 22, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Mary Anna Roberts, RFM

Title

Persident

Phone

(316) 260-8260

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1148256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207785600000",
    "number": "1083668024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1905 N MAIZE RD",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672125203",
            "telephone_number": "316-260-8260",
            "fax_number": "316-260-8266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1905 N MAIZE RD",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672125203",
            "telephone_number": "316-260-8260",
            "fax_number": "316-260-8266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERSONAL IMAGE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-22",
        "last_updated": "2008-04-10",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "ANNA",
        "authorized_official_title_or_position": "PERSIDENT",
        "authorized_official_telephone_number": "316-260-8260",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RFM"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "KS",
            "license": "CFM00705",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jarrett Perry
• Megan R Perry, P.A.
• Rebecca Perry, LPC
• Shayne Perry, DDS
• Personal & Phamily Counseling LLC
• Leighann Mullin Persondek, ARNP
• Pamela Kaye Persons
• Rafael Peruchi Carvalho, MD
• Margarita M Peschka, RRT
• Ramona K Peshek, MD

• Prosthetic/Orthotic Supplier in Wichita, KS
• Providers in Wichita, KS by specialty
• Prosthetic/Orthotic Supplier in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2008; 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.