NPIMap

Organization Active NPI

E C Tyree Health & Dental Clinic, Inc.

  • Voluntary or Charitable Agency
  • Wichita, KS
National Provider Identifier
1295915841
Registry record updated Apr 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Voluntary or Charitable AgencyTaxonomy code 251V00000X
Legal business name
E C TYREE HEALTH & DENTAL CLINIC, INC.
Practice address
1525 N Lorraine St
Wichita, KS 67214-2444
Phone
(316) 681-2545
Fax
(316) 681-2549
NPI assigned
Nov 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2008

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

Authorized official

Name
Schaunta L James Boyd
Title
Executive Director
Phone
(316) 681-2545

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Voluntary or Charitable Agency 251V00000X Primary

Addresses

Primary practice location

1525 N Lorraine St
Wichita, KS 67214-2444

Mailing address

1525 N Lorraine St
Wichita, KS 67214-2444
Phone (316) 681-2545

National Provider Directory

National Provider Directory

Locations

1525 N Lorraine Ave
Wichita, KS 67214
Phone (316) 681-2545

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/17326/brand/1/csg/1/fhir/r4

Practitioners 5

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": "1194825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208822400000",
    "number": "1295915841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1525 N LORRAINE ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672142444",
            "telephone_number": "316-681-2545",
            "fax_number": "316-681-2549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1525 N LORRAINE ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672142444",
            "telephone_number": "316-681-2545",
            "fax_number": "316-681-2549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "E C TYREE HEALTH & DENTAL CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-12",
        "last_updated": "2008-04-22",
        "status": "A",
        "authorized_official_last_name": "JAMES BOYD",
        "authorized_official_first_name": "SCHAUNTA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "316-681-2545"
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": null,
            "license": null,
            "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 Apr 22, 2008; 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.