Wyandotte Pediatrics

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

WYANDOTTE PEDIATRICS

Practice address

8919 Parallel Pkwy
Suite 380
Kansas City, KS 66112-1636

Phone

(913) 299-3800

Fax

(913) 299-9402

NPI assigned

Sep 30, 2006

Last updated

Aug 22, 2020By 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

Dr. Debra F Tickles, M.D.NPI 1447343835

Title

Owner

Phone

(913) 299-8300

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 2

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.

• Debra F Tickles, M.D.

  • Pediatrics Physician
  • Kansas City, KS
  • NPI 1447343835
  NPD (past) Authorized official
• Joseph E Wise III, M.D.

  • Pediatrics Physician
  • Kansas City, KS
  • NPI 1255424644
  NPD (past)

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

{
    "created_epoch": "1159574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1265525646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8919 PARALLEL PKWY",
            "address_2": "SUITE 380",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661121636",
            "telephone_number": "913-299-3800",
            "fax_number": "913-299-9402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8919 PARALLEL PKWY",
            "address_2": "SUITE 380",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661121636",
            "telephone_number": "913-299-3800",
            "fax_number": "913-299-9402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WYANDOTTE PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TICKLES",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "913-299-8300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS KANSAS",
            "identifier": "625989",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS KANSAS CITY",
            "identifier": "14230011",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wyandotte Central Dialysis LLC (Wyandotte Central Dialysis)
• Wyandotte Comprehensive Special Education Coop Infant Toddler Division
• Wyandotte County Dialysis LLC
• Wyandotte Family Chiropractic Center Inc
• Wyandotte Family Eyecare Center, LLC
• Cole Wymore, MD
• Helen Wynn
• Hadley Wyre, MD
• Chunmei Xie
• Yahui Xie, DO

• Pediatrics Physician in Kansas City, KS
• Providers in Kansas City, KS by specialty
• Pediatrics Physician 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.