Trenton Layne Ebersole, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

61814 Issued in KS

Practice address

3151 N Rock Rd
Wichita, KS 67226-1312

Phone

(316) 272-7876

NPI assigned

Jul 19, 2021

Last updated

Aug 6, 2021By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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

• Ict Dentistry LLC

  • General Practice Dentistry
  • Wichita, KS
  • NPI 1558092940
  NPD Authorized official
• Dental Corner PA

  • General Practice Dentistry
  • Wichita, KS
  • NPI 1134119779
  NPD (past)
• Kansas Dental Practice Associates PA

  • General Practice Dentistry
  • Wichita, KS
  • NPI 1033077532
  NPD (past)

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

{
    "created_epoch": "1626652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628208000000",
    "number": "1184297178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2404 E QUIVIRA CT",
            "city": "KECHI",
            "state": "KS",
            "postal_code": "670678909",
            "telephone_number": "620-440-2948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3151 N ROCK RD",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672261312",
            "telephone_number": "316-272-7876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EBERSOLE",
        "first_name": "TRENTON",
        "middle_name": "LAYNE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-07-19",
        "last_updated": "2021-08-06",
        "certification_date": "2021-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KS",
            "license": "61814",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katelyn Marie Ebberwein, OD
• Laurie Ebenkamp, RPT
• Isabelle Eberle, PTA
• Cynthia Marie Ebers, RNFA
• Lowell D Ebersole, D.O.
• Noel Eboh, MD
• Rhanda Marie M Eboh, MD
• Rawaa Ebrahem, M.D.
• Lynetta Echols, LMSW
• Alissa Eck

• 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 Aug 6, 2021; 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.