Active NPI
Gabriel Hageman Kangas
- Registered Dietitian
- Wichita, KS
National Provider Identifier
1255235750
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 3754
- Practice address
- 200 W Douglas Ave
Wichita, KS 67202-3013 - Phone
- (316) 351-8443
- NPI assigned
- Oct 7, 2026
- Last updated
- Oct 7, 2026
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 3754 | KS | Primary |
Addresses
Primary practice location
200 W Douglas Ave
Wichita, KS 67202-3013
Mailing address
1015 N Baltimore Ave
Derby, KS 67037-1820
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1791331200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1791331200000",
"number": "1255235750",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1015 N BALTIMORE AVE",
"city": "DERBY",
"state": "KS",
"postal_code": "670371820"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 W DOUGLAS AVE",
"city": "WICHITA",
"state": "KS",
"postal_code": "672023013",
"telephone_number": "316-351-8443"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KANGAS",
"first_name": "GABRIEL",
"middle_name": "HAGEMAN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2026-10-07",
"last_updated": "2026-10-07",
"certification_date": "2026-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "KS",
"license": "3754",
"primary": true
}
],
"identifiers": [],
"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 Oct 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.