Active NPI
Ted W Daughety, M.D.
- Pulmonary Disease Physician
- Topeka, KS
National Provider Identifier
1275532657
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 421292
- Practice address
- 2860 SW Mission Woods Dr
Topeka, KS 66614-5604 - Phone
- (785) 354-9591
- NPI assigned
- Jul 19, 2005
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | 421292 | KS | Primary |
| Sleep Medicine (Internal Medicine) Physician | 207RS0012X | 0421292 | KS |
Addresses
Primary practice location
2860 SW Mission Woods Dr
Topeka, KS 66614-5604
Mailing address
1500 SW 10TH Ave
Medical Staff Services
Topeka, KS 66604
Phone (785) 354-6241
Other practice location 1
631 SW Horne St
Suite 410
Topeka, KS 66606-1663
Phone (785) 232-0109
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 421292 | KS | MD | Pulmonary Disease Physician |
| 0421292 | KS | MD | Sleep Medicine (Internal Medicine) Physician |
Interoperability endpoints
- tdaughety3796@stormontvaildirect.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121731200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607472000000",
"number": "1275532657",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1500 SW 10TH AVE",
"address_2": "MEDICAL STAFF SERVICES",
"city": "TOPEKA",
"state": "KS",
"postal_code": "66604",
"telephone_number": "785-354-6241",
"fax_number": "785-270-4343"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2860 SW MISSION WOODS DR",
"city": "TOPEKA",
"state": "KS",
"postal_code": "666145604",
"telephone_number": "785-354-9591"
}
],
"practiceLocations": [
{
"address_1": "631 SW Horne St",
"address_2": "Suite 410",
"address_purpose": "LOCATION",
"city": "Topeka",
"state": "KS",
"postal_code": "666061663",
"country_code": "US",
"telephone_number": "785-232-0109",
"fax_number": "785-232-4748",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DAUGHETY",
"first_name": "TED",
"middle_name": "W",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-07-19",
"last_updated": "2020-12-09",
"certification_date": "2020-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "KS",
"license": "421292",
"primary": true
},
{
"code": "207RS0012X",
"taxonomy_group": "",
"desc": "Internal Medicine, Sleep Medicine",
"state": "KS",
"license": "0421292",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Topeka, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 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.