Stephen P Fetzik, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

60099 Issued in KS

Practice address

2860 S Seneca St
Suite B
Wichita, KS 67217-2865

Phone

(316) 522-4765

Fax

(316) 522-4766

NPI assigned

Sep 20, 2005

Last updated

Jul 13, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Fetzik Dentistry LLC

  • Dentist
  • Wichita, KS
  • NPI 1497002133
  NPD (past) Authorized official

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

{
    "created_epoch": "1127174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1477549053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2860 S SENECA",
            "address_2": "SUITE B",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672172870",
            "telephone_number": "316-522-4765",
            "fax_number": "316-522-4766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2860 S SENECA ST",
            "address_2": "SUITE B",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672172865",
            "telephone_number": "316-522-4765",
            "fax_number": "316-522-4766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FETZIK",
        "first_name": "STEPHEN",
        "middle_name": "P",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-20",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KS",
            "license": "60099",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Katherine Fesen, LMSW
• Rebecca Elizabeth Fester-Tash
• Jennifer Peterson Fetherston, D.C.
• Fetzik Dentistry LLC
• Carol Michale Fetzik, BSN,OMT
• Edmond G Feuille II, MD
• Barbara Lynn Fiegenbaum, M.A., CCC-SLP
• Jessica Field
• Andrew S Fields, DO
• Bailee Fields, AUD

• 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 Jul 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.