Kidspace Pediatric Dentistry,P.a

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

6522 Issued in KS

Legal business name

KIDSPACE PEDIATRIC DENTISTRY,P.A

Practice address

430 N Woodlawn St Ste 1
Wichita, KS 67208-4334

Phone

(316) 684-2100

Fax

(316) 684-2101

NPI assigned

Feb 7, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Julie S. Le

Title

Office Manager

Phone

(316) 684-2100

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lisa Le

  • General Practice Dentistry
  • Waipahu, HI
  • NPI 1528441375
  NPD (past)

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1245370345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 N WOODLAWN ST STE 1",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672084334",
            "telephone_number": "316-684-2100",
            "fax_number": "316-684-2101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 N WOODLAWN ST STE 1",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672084334",
            "telephone_number": "316-684-2100",
            "fax_number": "316-684-2101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDSPACE PEDIATRIC DENTISTRY,P.A",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LE",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "316-684-2100",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "KS",
            "license": "6522",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vijay Kumar Khurana, MD
• Cynthia Kibet, MD
• Kibigi Enterrprises and Oil LLC
• Veronica Kidd, DNAP
• Kidspace Pediatric Dentistry Partnership
• Caylee Kidwell Hinkle
• Bryce E Kidwell, DPT
• Kidz Cardiology, Inc
• Chung Kiefer, RN
• Lynn Kientz

• Pediatric Dentistry in Wichita, KS
• Providers in Wichita, KS by specialty
• Pediatric Dentistry in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.