Individual provider Active NPI

Kimberly Michelle Belcher, DMD

  • General Practice Dentistry
  • Wichita, KS
National Provider Identifier
1396435004
Registry record updated Jun 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
62399 Issued in KS
Practice address
9339 E 21St St N
Wichita, KS 67206-2971
Phone
(316) 215-9028
NPI assigned
May 8, 2023
Last updated
Jun 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2026

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 62399 KS Primary

Addresses

Primary practice location

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

Mailing address

PO Box 63
Benton, KS 67017-0063
Phone (620) 803-2396

Other practice location 1

1120 N Rock Rd
Derby, KS 67037-3584
Phone (316) 223-7816

Other practice location 2

1445 N Ridge Rd
Wichita, KS 67212-2985
Phone (316) 202-9633

Other names 1

  • Kimberly Michelle Smith Former name

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
0000000MOMDSurgery Physician

NPI Registry JSON

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

{
    "created_epoch": "1683504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781308800000",
    "number": "1396435004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 63",
            "city": "BENTON",
            "state": "KS",
            "postal_code": "670170063",
            "telephone_number": "620-803-2396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9339 E 21ST ST N",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672062971",
            "telephone_number": "316-215-9028"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1120 N Rock Rd",
            "address_purpose": "LOCATION",
            "city": "Derby",
            "state": "KS",
            "postal_code": "670373584",
            "country_code": "US",
            "telephone_number": "316-223-7816",
            "fax_number": "316-630-9353",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1445 N Ridge Rd",
            "address_purpose": "LOCATION",
            "city": "Wichita",
            "state": "KS",
            "postal_code": "672122985",
            "country_code": "US",
            "telephone_number": "316-202-9633",
            "fax_number": "316-721-5557",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BELCHER",
        "first_name": "KIMBERLY",
        "middle_name": "MICHELLE",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-08",
        "last_updated": "2026-06-13",
        "certification_date": "2026-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KS",
            "license": "62399",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "SMITH",
            "middle_name": "MICHELLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Jun 13, 2026; 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.