Small Smiles of Wichita, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

SMALL SMILES OF WICHITA, LLC

Practice address

650 N Carriage Pkwy
Suite #60
Wichita, KS 67208-4507

Phone

(316) 686-2721

Fax

(316) 686-2744

NPI assigned

Feb 26, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Jenell Stump

Title

Director, Licensing & Credentialing

Phone

(316) 686-2721

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1140912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427328000000",
    "number": "1427024868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 N CARRIAGE PKWY",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672084507",
            "telephone_number": "316-686-2721",
            "fax_number": "316-686-2744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 N CARRIAGE PKWY",
            "address_2": "SUITE #60",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672084507",
            "telephone_number": "316-686-2721",
            "fax_number": "316-686-2744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMALL SMILES OF WICHITA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-26",
        "last_updated": "2015-03-26",
        "status": "A",
        "authorized_official_last_name": "STUMP",
        "authorized_official_first_name": "JENELL",
        "authorized_official_title_or_position": "DIRECTOR, LICENSING & CREDENTIALING",
        "authorized_official_telephone_number": "316-686-2721",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200383480A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert J Sliter, M.D.
• Dianne Sloan, LCMFT
• Joy Dell Sloan, RN, BSN, CDE
• Wendy Sloniker
• Patricia Marie Sloop, LSCSW
• Helen Frances Smalley, LMSW
• Kaci Smalley, APRN
• Leigh Smalley
• Vickie L Smalley, D.O.
• Janelle M Smarsh, CRNA

• General Practice Dentistry in Wichita, KS
• Providers in Wichita, KS by specialty
• General Practice Dentistry in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 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.