Professional Endodontics

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

60147 Issued in KS

Legal business name

PROFESSIONAL ENDODONTICS

Practice address

7570 W 21St St N Ste 1042B
Wichita, KS 67205-1763

Phone

(316) 729-5670

Fax

(316) 729-5496

NPI assigned

Sep 13, 2007

Last updated

Sep 13, 2007By 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

Mrs. Monica Turner Turner

Title

Office Administrator

Phone

(316) 729-5670

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1189641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189641600000",
    "number": "1255526091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7570 W 21ST ST N STE 1042B",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672051763",
            "telephone_number": "316-729-5670",
            "fax_number": "316-729-5496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7570 W 21ST ST N STE 1042B",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672051763",
            "telephone_number": "316-729-5670",
            "fax_number": "316-729-5496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL ENDODONTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-13",
        "last_updated": "2007-09-13",
        "status": "A",
        "authorized_official_last_name": "TURNER",
        "authorized_official_first_name": "MONICA",
        "authorized_official_middle_name": "TURNER",
        "authorized_official_title_or_position": "OFFICE ADMINISTRATOR",
        "authorized_official_telephone_number": "316-729-5670",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "KS",
            "license": "60147",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1376527614",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2007; 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.