Organization Active NPI

Estel L. Landreth, P.a.

  • General Practice Dentistry
  • Wichita, KS
National Provider Identifier
1083753917
Registry record updated Jun 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
ESTEL L. LANDRETH, P.A.
Doing business as
Landreth Team Dentistry
Practice address
4620 E Douglas Ave
Wichita, KS 67208-3930
Phone
(316) 685-9276
Fax
(316) 685-2973
NPI assigned
Feb 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2008

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

Authorized official

Name
Estel Lee Landreth, DDSNPI 1407995236
Title
Dentist
Phone
(316) 685-9276

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

4620 E Douglas Ave
Wichita, KS 67208-3930

Mailing address

4620 E Douglas Ave
Wichita, KS 67208-3930
Phone (316) 685-9276

Other names 1

  • Landreth Team Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

4620 E Douglas Ave
Wichita, KS 67208
Phone (316) 685-9276

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214179200000",
    "number": "1083753917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4620 E DOUGLAS AVE",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672083930",
            "telephone_number": "316-685-9276",
            "fax_number": "316-685-2973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4620 E DOUGLAS AVE",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672083930",
            "telephone_number": "316-685-9276",
            "fax_number": "316-685-2973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESTEL L. LANDRETH, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-06",
        "last_updated": "2008-06-23",
        "status": "A",
        "authorized_official_last_name": "LANDRETH",
        "authorized_official_first_name": "ESTEL",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "316-685-9276",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Landreth Team Dentistry",
            "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 Jun 23, 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.