Organization Active NPI

Heartland Oriental Medicine LLC

  • Acupuncturist
  • Wichita, KS
National Provider Identifier
1205349776
Registry record updated Nov 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
Legal business name
HEARTLAND ORIENTAL MEDICINE LLC
Practice address
215 S Maize Rd Ste 103
Wichita, KS 67209-3146
Phone
(316) 512-5585
NPI assigned
Nov 7, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2017

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

Authorized official

Name
Kitty Wong-Robertson, DOM
Title
Owner
Phone
(316) 512-5585

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X Primary

Addresses

Primary practice location

215 S Maize Rd Ste 103
Wichita, KS 67209-3146

Mailing address

215 S Maize Rd Ste 103
Wichita, KS 67209-3146
Phone (316) 512-5585

Other identifiers 1

IdentifierTypeStateIssuer
1265744825OtherKSNPI

National Provider Directory

National Provider Directory

Locations

215 S Maize Rd
Ste 103
Wichita, KS 67209
Phone (316) 259-8121

NPI Registry JSON

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

{
    "created_epoch": "1510012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1510012800000",
    "number": "1205349776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 S MAIZE RD STE 103",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672093146",
            "telephone_number": "316-512-5585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 S MAIZE RD STE 103",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672093146",
            "telephone_number": "316-512-5585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEARTLAND ORIENTAL MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-07",
        "last_updated": "2017-11-07",
        "status": "A",
        "authorized_official_last_name": "WONG-ROBERTSON",
        "authorized_official_first_name": "KITTY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "316-512-5585",
        "authorized_official_credential": "DOM"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1265744825",
            "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 Nov 7, 2017; 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.