Active NPI
Maxwell Eugene White
- General Practice Dentistry
- Wichita, KS
National Provider Identifier
1306256169
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 60967
- Practice address
- 1831 N Rock Road CT
Suite 101
Wichita, KS 67206-1373 - Phone
- (316) 652-0000
- NPI assigned
- May 2, 2014
- Sex
- Male
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 60967 | KS | Primary |
Addresses
Primary practice location
1831 N Rock Road CT
Suite 101
Wichita, KS 67206-1373
Mailing address
4321 N Dellrose Cir
Wichita, KS 67220-2655
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 |
|---|---|---|---|
| 60967 | KS | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dental Health Partners of Kansas | General Practice | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1398988800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1402272000000",
"number": "1306256169",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4321 N DELLROSE CIR",
"city": "WICHITA",
"state": "KS",
"postal_code": "672202655"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1831 N ROCK ROAD CT",
"address_2": "SUITE 101",
"city": "WICHITA",
"state": "KS",
"postal_code": "672061373",
"telephone_number": "316-652-0000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITE",
"first_name": "MAXWELL",
"middle_name": "EUGENE",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-05-02",
"last_updated": "2014-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "KS",
"license": "60967",
"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 Jun 9, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.