Individual provider Active NPI

Joan Hoverman, DDS

  • General Practice Dentistry
  • Wichita, KS
National Provider Identifier
1164643193
Registry record updated Jan 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
60251 Issued in KS
Practice address
841 S Hillside St
C/O Partridge Family Dentistry, Estate
Wichita, KS 67211-3005
Phone
(316) 681-1530
Fax
(316) 682-5291
NPI assigned
May 1, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 60251 KS Primary

Addresses

Primary practice location

841 S Hillside St
C/O Partridge Family Dentistry, Estate
Wichita, KS 67211-3005

Mailing address

841 S Hillside St
C/O Patridge Family Dentistry, Estate
Wichita, KS 67211-3005
Phone (316) 681-1530

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
60251KSMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390867200000",
    "number": "1164643193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "841 S HILLSIDE ST",
            "address_2": "C/O PATRIDGE FAMILY DENTISTRY, ESTATE",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672113005",
            "telephone_number": "316-681-1530",
            "fax_number": "316-682-5231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "841 S HILLSIDE ST",
            "address_2": "C/O PARTRIDGE FAMILY DENTISTRY, ESTATE",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672113005",
            "telephone_number": "316-681-1530",
            "fax_number": "316-682-5291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOVERMAN",
        "first_name": "JOAN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-01",
        "last_updated": "2014-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KS",
            "license": "60251",
            "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 Jan 28, 2014; 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.