Active NPI
Elizabeth Villarroel Wawrzewski, D.D.S
- Dentist
- Wichita, KS
National Provider Identifier
1306159934
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 60699
- Practice address
- 1122 N Topeka St
Wichita, KS 67214-2810 - Phone
- (316) 866-2000
- NPI assigned
- Jul 25, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 60699 | KS | Primary |
Addresses
Primary practice location
1122 N Topeka St
Wichita, KS 67214-2810
Mailing address
3545 N Santa Fe St
Wichita, KS 67219-3633
Phone (316) 209-3430
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 60699 | KS | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1280016000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1280016000000",
"number": "1306159934",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3545 N SANTA FE ST",
"city": "WICHITA",
"state": "KS",
"postal_code": "672193633",
"telephone_number": "316-209-3430"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1122 N TOPEKA ST",
"city": "WICHITA",
"state": "KS",
"postal_code": "672142810",
"telephone_number": "316-866-2000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WAWRZEWSKI",
"first_name": "ELIZABETH",
"middle_name": "VILLARROEL",
"name_prefix": "Dr.",
"credential": "D.D.S",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-07-25",
"last_updated": "2010-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "KS",
"license": "60699",
"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 Jul 25, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.