Organization Active NPI

Center for Change LLC

  • Addiction Medicine (Family Medicine) Physician
  • Wichita, KS
National Provider Identifier
1093349813
Registry record updated Oct 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Family Medicine) PhysicianTaxonomy code 207QA0401X
Legal business name
CENTER FOR CHANGE LLC
Practice address
933 N Topeka St
Wichita, KS 67214-3620
Phone
(316) 201-1234
Fax
(316) 201-1673
NPI assigned
Mar 2, 2020
Last updated
Oct 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2020

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

Authorized official

Name
Gregory Lakin, D.O.NPI 1003867953
Title
Medical Director/Authorized Offcial
Phone
(316) 640-0601

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
Addiction Medicine (Family Medicine) Physician 207QA0401X NU Primary

Addresses

Primary practice location

933 N Topeka St
Wichita, KS 67214-3620

Mailing address

933 N Topeka St
Wichita, KS 67214-3620
Phone (316) 201-1234

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1583107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603324800000",
    "number": "1093349813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "933 N TOPEKA ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672143620",
            "telephone_number": "316-201-1234",
            "fax_number": "316-201-1673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "933 N TOPEKA ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672143620",
            "telephone_number": "316-201-1234",
            "fax_number": "316-201-1673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR CHANGE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-02",
        "last_updated": "2020-10-22",
        "certification_date": "2020-10-22",
        "status": "A",
        "authorized_official_last_name": "LAKIN",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR/AUTHORIZED OFFCIAL",
        "authorized_official_telephone_number": "316-640-0601",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "NU",
            "license": null,
            "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 Oct 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.