Daniel D Kieu, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

7199 Issued in KS

Practice address

4100 E Central Ave
Wichita, KS 67208-3820

Phone

(316) 612-0270

Fax

(316) 612-0353

NPI assigned

Feb 27, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in KS

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Daniel D Kieu DDS PA

  • General Practice Dentistry
  • Wichita, KS
  • NPI 1194070326
  NPD (past) Authorized official

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

{
    "created_epoch": "1140998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1342137600000",
    "number": "1124094214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4100 E CENTRAL AVE",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672083820",
            "telephone_number": "316-612-0270",
            "fax_number": "316-612-0353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 E CENTRAL AVE",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672083820",
            "telephone_number": "316-612-0270",
            "fax_number": "316-612-0353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIEU",
        "first_name": "DANIEL",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-27",
        "last_updated": "2012-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KS",
            "license": "7199",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF KANSAS",
            "identifier": "0000116536",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100359900A",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DORAL  PROVIDER NUMBER",
            "identifier": "102885",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Caylee Kidwell Hinkle
• Bryce E Kidwell, DPT
• Kidz Cardiology, Inc
• Chung Kiefer, RN
• Lynn Kientz
• Hanh T Kieu, DENTAL HYGENTIST
• Thomas Kieu, HYGIENIST RDH
• Thomas Kieu, DDS
• Richard Greg Kile, PA-C
• Genevieve Kilgen-Henry, OCCUPATIONAL THERAPI

• General Practice Dentistry in Wichita, KS
• Providers in Wichita, KS by specialty
• General Practice Dentistry in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.