Active NPI
Daniel D Kieu DDS PA
- General Practice Dentistry
- Wichita, KS
National Provider Identifier
1194070326
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 7199
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Daniel D Kieu, DDS
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100359900A | Medicaid | KS |
National Provider Directory
National Provider DirectoryLocations
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.
-
- General Practice Dentistry
- Wichita, KS
- NPI 1124094214
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.