Hillside Family Dentist, PA

Primary specialty

DentistTaxonomy code 122300000X

License

61268 Issued in KS

Legal business name

HILLSIDE FAMILY DENTIST, PA

Practice address

841 S Hillside St
Wichita, KS 67211-3005

Phone

(316) 681-1530

NPI assigned

Oct 27, 2015

Last updated

Oct 27, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Scott Guest

Title

Agent

Phone

(913) 645-0079

Specialties & licenses 1

Addresses

Other names 1

• Mike L Snowbarger, DDS, PA Former legal business name

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

{
    "created_epoch": "1445904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445904000000",
    "number": "1205208568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1648 S OHIO ST",
            "address_2": "SUITE #259",
            "city": "SALINA",
            "state": "KS",
            "postal_code": "674016360",
            "telephone_number": "913-645-0079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "841 S HILLSIDE ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672113005",
            "telephone_number": "316-681-1530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HILLSIDE FAMILY DENTIST, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-27",
        "last_updated": "2015-10-27",
        "status": "A",
        "authorized_official_last_name": "GUEST",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "AGENT",
        "authorized_official_telephone_number": "913-645-0079"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "KS",
            "license": "61268",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mike L Snowbarger, DDS, PA",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Zachary Hill, PHARMD
• Amy Hilley, DPT
• Susan J Hilley, RPH
• Olivia Alexandra Hillier
• Hillside Endodontics LLC
• Hillside Medical Office LLC
• Lisa I Hilt, LPC
• Amanda Leigh Hilton, LMSW
• A. Elissa Hilyard, M.S., LCMFT
• Caitlin Himes

• Dentist in Wichita, KS
• Providers in Wichita, KS by specialty
• Dentist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2015; 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.