Active NPI
Craig R. Webb, M.D.
- Pediatrics Physician
- Wichita, KS
National Provider Identifier
1134119571
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 04-38735
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 73150258 | Medicaid | CO | |
| 026702 | Other | CO | KAISER 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD051853 | PA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maria Medical Group, LLC | Current | Accepting new patients | |
| University of Kansas School of Medicine Wichita Medical Practice Assoc | Pediatrics | Current | 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.
-
- Urgent Care Clinic/Center
- Wichita, KS
- NPI 1053740092
-
- Internal Medicine Physician
- Wichita, KS
- NPI 1639143712
Pediatrics
-
- General Acute Care Hospital
- Wichita, KS
- NPI 1447299649
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2016; 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.