NPIMap

Organization Active NPI

Kansas Periodontics & Dental Implants LLC

  • Periodontics
  • Wichita, KS
National Provider Identifier
1245328236
Registry record updated Aug 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
Legal business name
KANSAS PERIODONTICS & DENTAL IMPLANTS LLC
Practice address
2981 N. Webb Rd.
Wichita, KS 67226
Phone
(316) 685-2731
Fax
(316) 685-6946
NPI assigned
Oct 11, 2006
Last updated
Aug 25, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2026

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

Authorized official

Name
Dr. Jason WagleNPI 1932283256
Title
Doctor Owner
Phone
(316) 685-2731

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
PeriodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0300X Primary

Addresses

Primary practice location

2981 N. Webb Rd.
Wichita, KS 67226

Mailing address

2981 N. Webb Rd.
Wichita, KS 67226
Phone (316) 685-2731

Other names 1

  • Drs. Moxley, Wagle & Wilson Other name

National Provider Directory

National Provider Directory

Locations

2981 N Webb Rd
Wichita, KS 67226
Phone (316) 685-2731

Practitioners & affiliated clinicians

Practitioners 4

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": "1160524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787616000000",
    "number": "1245328236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2981 N. WEBB RD.",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "67226",
            "telephone_number": "316-685-2731",
            "fax_number": "316-685-6946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2981 N. WEBB RD.",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "67226",
            "telephone_number": "316-685-2731",
            "fax_number": "316-685-6946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KANSAS PERIODONTICS & DENTAL IMPLANTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-11",
        "last_updated": "2026-08-25",
        "certification_date": "2026-08-25",
        "status": "A",
        "authorized_official_last_name": "WAGLE",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "DOCTOR OWNER",
        "authorized_official_telephone_number": "316-685-2731",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Drs. Moxley, Wagle & Wilson",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Drs. Moxley, Wagle & Wilson",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Aug 25, 2026; 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.