Active NPI
Center for Change LLC
- Addiction Medicine (Family Medicine) Physician
- Wichita, KS
National Provider Identifier
1093349813
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction Medicine (Family Medicine) Physician
- 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, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Gregory Lakin, D.O.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryPractitioners & 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.
-
- Family Medicine Physician
- Wichita, KS
- NPI 1003867953
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
- Christian Cedeno
- Jennifer E Celso, PT
- Center at Waterfront LLC (The Center at Waterfront)
- Center for Better Hearing LLC (The Center for Better Hearing LLC)
- Center for Change
- Center for Human Development, Inc.
- Center for Inner Balance, LLC
- Center for Womens Health of Wichita LLC
- Centerwell Senior Primary Care KS PA (CenterWell Senior Primary Care (KS) PA - Parklane)
- Centerwell Senior Primary Care KS PA (CenterWell Senior Primary Care KS PA - E 13th Street)
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.