Organization Active NPI

W.R. Whitlow, D.D.S., PA

  • Oral and Maxillofacial Surgery (Dentist)
  • Wichita, KS
National Provider Identifier
1265530927
Registry record updated Aug 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
6423 Issued in KS
Legal business name
W.R. WHITLOW, D.D.S., PA
Practice address
1919 N Maize Rd Ste 200
Wichita, KS 67212-5203
Phone
(316) 721-4890
Fax
(316) 721-1529
NPI assigned
Sep 20, 2006
Organization subpart
Yes
Parent organization
W.R. WHITLOW, D.D.S., PAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 13, 2007

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

Authorized official

Name
Dr. William R Whitlow, D.D.S.
Title
President
Phone
(620) 663-1141

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X SINGLE SPECIALTY GROUP 1223S0112X 6423 KS Primary

Addresses

Primary practice location

1919 N Maize Rd Ste 200
Wichita, KS 67212-5203

Mailing address

2301 N Waldron St
Hutchinson, KS 67502-1133
Phone (620) 663-1141

Other identifiers 1

IdentifierTypeStateIssuer
022839OtherKSBLUE CROSS & BLUE SHIELD

National Provider Directory

National Provider Directory
Part of
W R Whitlow DDS PA

Locations

1919 N Maize Rd
Ste 200
Wichita, KS 67212
Phone (316) 721-4890

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186963200000",
    "number": "1265530927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 N WALDRON ST",
            "city": "HUTCHINSON",
            "state": "KS",
            "postal_code": "675021133",
            "telephone_number": "620-663-1141",
            "fax_number": "620-663-1373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1919 N MAIZE RD STE 200",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672125203",
            "telephone_number": "316-721-4890",
            "fax_number": "316-721-1529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "W.R. WHITLOW, D.D.S., PA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "W.R. WHITLOW, D.D.S., PA",
        "enumeration_date": "2006-09-20",
        "last_updated": "2007-08-13",
        "status": "A",
        "authorized_official_last_name": "WHITLOW",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "620-663-1141",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "KS",
            "license": "6423",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS & BLUE SHIELD",
            "identifier": "022839",
            "state": "KS"
        }
    ],
    "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 Aug 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.