NPIMap

Organization Active NPI

Dental Wellness of Kansas LLC

  • Dentist
  • Wichita, KS
National Provider Identifier
1396112009
Registry record updated Aug 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
7208 Issued in KS
Legal business name
DENTAL WELLNESS OF KANSAS LLC
Practice address
1901 N Webb Rd
Suite a
Wichita, KS 67206-3415
Phone
(316) 685-8881
NPI assigned
Aug 28, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2015

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

Authorized official

Name
Dr. Kreg William Boynton, DDS
Title
Dentist/Owner
Phone
(316) 685-8881

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 7208 KS Primary

Addresses

Primary practice location

1901 N Webb Rd
Suite a
Wichita, KS 67206-3415

Mailing address

1901 N Webb Rd
Suite a
Wichita, KS 67206-3415
Phone (316) 685-8881

National Provider Directory

National Provider Directory

Locations

1901 N Webb Rd
Ste A
Wichita, KS 67206
Phone (316) 685-8881

NPI Registry JSON

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

{
    "created_epoch": "1440720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440720000000",
    "number": "1396112009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 N WEBB RD",
            "address_2": "SUITE A",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672063415",
            "telephone_number": "316-685-8881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 N WEBB RD",
            "address_2": "SUITE A",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672063415",
            "telephone_number": "316-685-8881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL WELLNESS OF KANSAS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-28",
        "last_updated": "2015-08-28",
        "status": "A",
        "authorized_official_last_name": "BOYNTON",
        "authorized_official_first_name": "KREG",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "316-685-8881",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "KS",
            "license": "7208",
            "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 28, 2015; 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.