Individual provider Active NPI

Craig R. Webb, M.D.

  • Pediatrics Physician
  • Wichita, KS
National Provider Identifier
1134119571
Registry record updated Oct 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
04-38735 Issued in KS
Practice address
3006 S Seneca St
Medexpress
Wichita, KS 67217-3210
Phone
(316) 522-4635
NPI assigned
Oct 26, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2016

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X MD051853 PA
Pediatrics Physician 208000000X DR.0055577 CO
Pediatrics Physician 208000000X 04-38735 KS Primary

Addresses

Primary practice location

3006 S Seneca St
Medexpress
Wichita, KS 67217-3210

Mailing address

3006 S Seneca St
Medexpress
Wichita, KS 67217-3210
Phone (316) 522-4635

Other identifiers 2

IdentifierTypeStateIssuer
73150258MedicaidCO
026702OtherCOKAISER COMMERCIAL NUMBER

Medicare participation

Medicare enrollment files
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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160303001019 KS Practitioner - Pediatric Medicine 0749590511 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD051853PAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Maria Medical Group, LLC CurrentSince Apr 2, 2019 Accepting new patients
University of Kansas School of Medicine Wichita Medical Practice Assoc Pediatrics CurrentSince Aug 1, 2018 Accepting new patients
Wesley Medical Center LLC Past Accepting new patients

Locations

3161 N Rock Rd
Ste A
Wichita, KS 67226
Phone (316) 440-2712

550 N Hillside St
Wichita, KS 67214
Phone (316) 688-2239

3161 N Rock Rd
Wichita, KS 67226
Phone (316) 440-2712

1010 N Kansas St
Wichita, KS 67214
Phone (316) 293-2622

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1130284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476835200000",
    "number": "1134119571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3006 S SENECA ST",
            "address_2": "MEDEXPRESS",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672173210",
            "telephone_number": "316-522-4635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3006 S SENECA ST",
            "address_2": "MEDEXPRESS",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672173210",
            "telephone_number": "316-522-4635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEBB",
        "first_name": "CRAIG",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-26",
        "last_updated": "2016-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PA",
            "license": "MD051853",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CO",
            "license": "DR.0055577",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "KS",
            "license": "04-38735",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "73150258",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KAISER COMMERCIAL NUMBER",
            "identifier": "026702",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.