Individual provider Active NPI

Lawrence L Trimmell, D.D.S.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Wichita, KS
National Provider Identifier
1124018445
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
4954 Issued in KS
Practice address
8118 E Douglas Ave
#105
Wichita, KS 67206-2364
Phone
(316) 686-6663
Fax
(316) 686-9295
NPI assigned
Oct 27, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 4954 KS Primary

Addresses

Primary practice location

8118 E Douglas Ave
#105
Wichita, KS 67206-2364

Mailing address

8118 E Douglas Ave
#105
Wichita, KS 67206-2364
Phone (316) 686-6663

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
4954KSMDOrthodontics and Dentofacial Orthopedic Dentist

NPI Registry JSON

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

{
    "created_epoch": "1130371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1124018445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8118 E DOUGLAS AVE",
            "address_2": "#105",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672062364",
            "telephone_number": "316-686-6663",
            "fax_number": "316-686-9295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8118 E DOUGLAS AVE",
            "address_2": "#105",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672062364",
            "telephone_number": "316-686-6663",
            "fax_number": "316-686-9295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRIMMELL",
        "first_name": "LAWRENCE",
        "middle_name": "L",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "KS",
            "license": "4954",
            "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 Jul 8, 2007; 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.