NPIMap

Organization Active NPI

Wichita Endodontics LLC

  • Endodontics
  • Wichita, KS
National Provider Identifier
1326564188
Registry record updated Aug 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
60398 Issued in KS
Legal business name
WICHITA ENDODONTICS LLC
Practice address
12219 E Central Ave
Wichita, KS 67206-2808
Phone
(316) 681-1099
Fax
(316) 613-2417
NPI assigned
Aug 14, 2017
Last updated
Aug 4, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
WICHITA ENDODONTICS LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 4, 2021

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

Authorized official

Name
Dr. Craig Frank Hoffmann, DDSNPI 1972697019
Title
Owner/Provider
Phone
(316) 681-1099

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
EndodonticsGroup: 193200000X MULTI-SPECIALTY GROUP 1223E0200X 6545 KS
EndodonticsGroup: 193200000X MULTI-SPECIALTY GROUP 1223E0200X 60398 KS Primary

Addresses

Primary practice location

12219 E Central Ave
Wichita, KS 67206-2808

Mailing address

12219 E Central Ave
Wichita, KS 67206-2808
Phone (316) 681-1099

National Provider Directory

National Provider Directory
Tax ID family
Wichita Endodontics LLC3 organizations share this tax ID, including this one
Part of
Wichita Endodontics LLC

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

12219 E Central Ave
Wichita, KS 67206
Phone (316) 681-1099

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 7

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": "1502668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628035200000",
    "number": "1326564188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12219 E CENTRAL AVE",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672062808",
            "telephone_number": "316-681-1099",
            "fax_number": "316-613-2417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12219 E CENTRAL AVE",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672062808",
            "telephone_number": "316-681-1099",
            "fax_number": "316-613-2417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WICHITA ENDODONTICS LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WICHITA ENDODONTICS LLC",
        "enumeration_date": "2017-08-14",
        "last_updated": "2021-08-04",
        "certification_date": "2021-08-04",
        "status": "A",
        "authorized_official_last_name": "HOFFMANN",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_middle_name": "FRANK",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "316-681-1099",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Endodontics",
            "state": "KS",
            "license": "6545",
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Endodontics",
            "state": "KS",
            "license": "60398",
            "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 Aug 4, 2021; 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.