Organization Active NPI

Yr Family Dentistry

  • Dental Clinic/Center
  • Wichita, KS
National Provider Identifier
1417711235
Registry record updated Feb 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
YR FAMILY DENTISTRY
Practice address
3801 N Ridge Rd
Ste 150/160
Wichita, KS 67205
Phone
(316) 993-1579
NPI assigned
Feb 12, 2024
Last updated
Feb 12, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2024

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

Authorized official

Name
Yona Rasynouvong, DDSNPI 1659989671
Title
Dentist/Owner
Phone
(316) 993-1579

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
Dental Clinic/Center 261QD0000X NU Primary

Addresses

Primary practice location

3801 N Ridge Rd
Ste 150/160
Wichita, KS 67205

Mailing address

2855 N Anna CT
Wichita, KS 67205-1159
Phone (316) 993-1579

National Provider Directory

National Provider Directory

Locations

3801 N Ridge Rd
Ste 150160
Wichita, KS 67205
Phone (316) 993-1579

Practitioners & affiliated clinicians

Practitioners 1

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": "1707696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707696000000",
    "number": "1417711235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2855 N ANNA CT",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672051159",
            "telephone_number": "316-993-1579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 N RIDGE RD",
            "address_2": "STE 150/160",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "67205",
            "telephone_number": "316-993-1579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YR FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-12",
        "last_updated": "2024-02-12",
        "certification_date": "2024-02-10",
        "status": "A",
        "authorized_official_last_name": "RASYNOUVONG",
        "authorized_official_first_name": "YONA",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "316-993-1579",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "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 Feb 12, 2024; 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.