Organization Active NPI

Daniel D Kieu DDS PA

  • General Practice Dentistry
  • Wichita, KS
National Provider Identifier
1194070326
Registry record updated Jul 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
7199 Issued in KS
Legal business name
DANIEL D KIEU DDS PA
Practice address
4100 E Central Ave
Wichita, KS 67208-3820
Phone
(316) 612-0270
Fax
(316) 612-0353
NPI assigned
Jul 13, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2012

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

Authorized official

Name
Daniel D Kieu, DDSNPI 1124094214
Title
President
Phone
(316) 612-0270

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 7199 KS Primary

Addresses

Primary practice location

4100 E Central Ave
Wichita, KS 67208-3820

Mailing address

4100 E Central Ave
Wichita, KS 67208-3820
Phone (316) 612-0270

Other identifiers 1

IdentifierTypeStateIssuer
100359900AMedicaidKS

National Provider Directory

National Provider Directory

Locations

4100 E Central Ave
Wichita, KS 67208
Phone (316) 612-0270

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1342137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342137600000",
    "number": "1194070326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4100 E CENTRAL AVE",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672083820",
            "telephone_number": "316-612-0270",
            "fax_number": "316-612-0353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 E CENTRAL AVE",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672083820",
            "telephone_number": "316-612-0270",
            "fax_number": "316-612-0353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIEL D KIEU DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-13",
        "last_updated": "2012-07-13",
        "status": "A",
        "authorized_official_last_name": "KIEU",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "316-612-0270",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "KS",
            "license": "7199",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100359900A",
            "state": "KS"
        }
    ],
    "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 Jul 13, 2012; 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.