NPIMap

Organization Active NPI

Wichita Family Dental Partnership

Doing business as Wichita Family Dental

  • General Practice Dentistry
  • Wichita, KS
National Provider Identifier
1346597069
Registry record updated Aug 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
5979 Issued in KS
Legal business name
WICHITA FAMILY DENTAL PARTNERSHIP
Doing business as
Wichita Family Dental
Practice address
9339 E 21St St N
Suite 200
Wichita, KS 67206-2971
Phone
(316) 630-9339
Fax
(316) 630-9353
NPI assigned
Aug 13, 2012
Last updated
Aug 13, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2012

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

Authorized official

Name
Charles H Pierson, D.D.S.NPI 1285909168
Title
Dentist
Phone
(316) 630-9339

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 5979 KS Primary

Addresses

Primary practice location

9339 E 21St St N
Suite 200
Wichita, KS 67206-2971

Mailing address

9339 E 21St St N
Suite 200
Wichita, KS 67206-2971
Phone (316) 630-9339

Other names 1

  • Wichita Family Dental Doing business as

National Provider Directory

National Provider Directory

Locations

9339 E 21st St N
Ste 200
Wichita, KS 67206
Phone (316) 333-6446

Practitioners & affiliated clinicians

Practitioners 5

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": "1344816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344816000000",
    "number": "1346597069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9339 E 21ST ST N",
            "address_2": "SUITE 200",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672062971",
            "telephone_number": "316-630-9339",
            "fax_number": "316-630-9353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9339 E 21ST ST N",
            "address_2": "SUITE 200",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672062971",
            "telephone_number": "316-630-9339",
            "fax_number": "316-630-9353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WICHITA FAMILY DENTAL PARTNERSHIP",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-13",
        "last_updated": "2012-08-13",
        "status": "A",
        "authorized_official_last_name": "PIERSON",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "316-630-9339",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KS",
            "license": "5979",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wichita Family Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 13, 2012; 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.