Individual provider Active NPI

Steven J Dold, D.D.S.

  • General Practice Dentistry
  • Wichita, KS
National Provider Identifier
1356603575
Registry record updated Jun 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
60833 Issued in KS
Practice address
7570 W 21St St N
Ste 1026B
Wichita, KS 67205-1734
Phone
(316) 721-2024
NPI assigned
Jun 13, 2012
Last updated
Jun 13, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 60833 KS Primary

Addresses

Primary practice location

7570 W 21St St N
Ste 1026B
Wichita, KS 67205-1734

Mailing address

7570 W 21St St N
Ste 1026B
Wichita, KS 67205-1734
Phone (316) 721-2024

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201028000250 KS Order and Referring Only - DentistPractitioner - Dentist 1658501911

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
60833KSMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Davis & Dold Dental, LLC General Practice Past Accepting new patients
Reflection Ridge Dental, LLC Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1339545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339545600000",
    "number": "1356603575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7570 W 21ST ST N",
            "address_2": "STE 1026B",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672051734",
            "telephone_number": "316-721-2024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7570 W 21ST ST N",
            "address_2": "STE 1026B",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672051734",
            "telephone_number": "316-721-2024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOLD",
        "first_name": "STEVEN",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-13",
        "last_updated": "2012-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KS",
            "license": "60833",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.