Active NPI
Kreg William Boynton, DDS
- General Practice Dentistry
- Wichita, KS
National Provider Identifier
1356446769
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 7208
- Practice address
- 1901 N Webb Rd
Ste B
Wichita, KS 67206-3415 - Phone
- (316) 685-8881
- Fax
- (316) 634-8323
- NPI assigned
- Sep 13, 2006
- 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 | 7208 | KS | Primary |
Addresses
Primary practice location
1901 N Webb Rd
Ste B
Wichita, KS 67206-3415
Mailing address
1901 N Webb Rd
Ste B
Wichita, KS 67206-3415
Phone (316) 685-8881
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 420711 | Other | BLUE CROSS |
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 |
|---|---|---|---|
| 7208 | KS | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Boynton Family Dental Arts | 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.
-
- General Practice Dentistry
- Wichita, KS
- NPI 1205935970
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158105600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1356446769",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1901 N WEBB RD",
"address_2": "STE B",
"city": "WICHITA",
"state": "KS",
"postal_code": "672063415",
"telephone_number": "316-685-8881",
"fax_number": "316-634-8323"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1901 N WEBB RD",
"address_2": "STE B",
"city": "WICHITA",
"state": "KS",
"postal_code": "672063415",
"telephone_number": "316-685-8881",
"fax_number": "316-634-8323"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOYNTON",
"first_name": "KREG",
"middle_name": "WILLIAM",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-13",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "KS",
"license": "7208",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "420711",
"state": null
}
],
"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 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.