NPIMap

Organization Active NPI

Wichita State University

  • Dentist
  • Wichita, KS
National Provider Identifier
1144495169
Registry record updated Apr 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
5482 Issued in KS
Legal business name
WICHITA STATE UNIVERSITY
Practice address
1845 Fairmount St
Wichita, KS 67260-9700
Phone
(316) 978-3614
NPI assigned
Apr 30, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2008

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

Authorized official

Name
Denise Maseman
Title
Chairperson
Phone
(316) 978-3614

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 5482 KS Primary

Addresses

Primary practice location

1845 Fairmount St
Wichita, KS 67260-9700

Mailing address

12105 Nantucket St
Wichita, KS 67235-1224
Phone (316) 721-9885

National Provider Directory

National Provider Directory
Tax ID family
Comprehensive Cancer Ctr7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1209513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209513600000",
    "number": "1144495169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12105 NANTUCKET ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672351224",
            "telephone_number": "316-721-9885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1845 FAIRMOUNT ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672609700",
            "telephone_number": "316-978-3614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WICHITA STATE UNIVERSITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-30",
        "last_updated": "2008-04-30",
        "status": "A",
        "authorized_official_last_name": "MASEMAN",
        "authorized_official_first_name": "DENISE",
        "authorized_official_title_or_position": "CHAIRPERSON",
        "authorized_official_telephone_number": "316-978-3614"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "KS",
            "license": "5482",
            "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 Apr 30, 2008; 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.