Organization Active NPI

Heartland Dentistry

  • Dentist
  • Wichita, KS
National Provider Identifier
1295164028
Registry record updated Nov 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
60555 Issued in KS
Legal business name
HEARTLAND DENTISTRY
Practice address
3722 N Arkansas Ave
Wichita, KS 67204-4053
Phone
(316) 832-0186
NPI assigned
Nov 2, 2013
Last updated
Nov 2, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2013

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

Authorized official

Name
Kandi Irving
Title
Office Manager
Phone
(316) 832-0186

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 60555 KS Primary

Addresses

Primary practice location

3722 N Arkansas Ave
Wichita, KS 67204-4053

Mailing address

3722 N Arkansas Ave
Wichita, KS 67204-4053
Phone (316) 832-0186

National Provider Directory

National Provider Directory

Locations

3722 N Arkansas Ave
Wichita, KS 67204
Phone (316) 832-0186

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1383350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383350400000",
    "number": "1295164028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3722 N ARKANSAS AVE",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672044053",
            "telephone_number": "316-832-0186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3722 N ARKANSAS AVE",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672044053",
            "telephone_number": "316-832-0186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEARTLAND DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-02",
        "last_updated": "2013-11-02",
        "status": "A",
        "authorized_official_last_name": "IRVING",
        "authorized_official_first_name": "KANDI",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "316-832-0186"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "KS",
            "license": "60555",
            "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 Nov 2, 2013; 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.