Individual provider Active NPI

Daniel William Stipe, DDS

  • General Practice Dentistry
  • Wichita, KS
National Provider Identifier
1346520020
Registry record updated Jan 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
33931 Issued in TX
Practice address
2838 N Oliver St
Wichita, KS 67220-2983
Phone
(918) 949-4450
Fax
(918) 794-7728
NPI assigned
Aug 25, 2011
Last updated
Jan 9, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 60870 KS
Dentist 122300000X 6327 OK
General Practice Dentistry 1223G0001X 33931 TX Primary

Addresses

Primary practice location

2838 N Oliver St
Wichita, KS 67220-2983

Mailing address

9025 N 121St East Ave Ste 300
Owasso, OK 74055-5399
Phone (918) 304-8040

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

LicenseStateTypeSpecialty
6327OKMDMental Health Counselor
60870KSMDDentist
33931TXMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1314230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578528000000",
    "number": "1346520020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9025 N 121ST EAST AVE STE 300",
            "city": "OWASSO",
            "state": "OK",
            "postal_code": "740555399",
            "telephone_number": "918-304-8040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2838 N OLIVER ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672202983",
            "telephone_number": "918-949-4450",
            "fax_number": "918-794-7728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STIPE",
        "first_name": "DANIEL",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-08-25",
        "last_updated": "2020-01-09",
        "certification_date": "2020-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "KS",
            "license": "60870",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OK",
            "license": "6327",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "33931",
            "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 Jan 9, 2020; 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.