Active NPI
James Richard Henthorn, BCO BADO
- Ocularist
- Wichita, KS
National Provider Identifier
1497836035
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ocularist
- Practice address
- 744 S Hillside
Wichita, KS 67211-3002 - Phone
- (316) 688-5235
- Fax
- (316) 651-0775
- NPI assigned
- Oct 18, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ocularist | 156FX1700X | Primary |
Addresses
Primary practice location
744 S Hillside
Wichita, KS 67211-3002
Mailing address
744 S Hillside
Wichita, KS 67211-3002
Phone (316) 688-5235
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1933222 | Other | FDA | |
| 100218340A | Medicaid | KS |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161129600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1196208000000",
"number": "1497836035",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "744 S HILLSIDE",
"city": "WICHITA",
"state": "KS",
"postal_code": "672113002",
"telephone_number": "316-688-5235",
"fax_number": "316-651-0775"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "744 S HILLSIDE",
"city": "WICHITA",
"state": "KS",
"postal_code": "672113002",
"telephone_number": "316-688-5235",
"fax_number": "316-651-0775"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENTHORN",
"first_name": "JAMES",
"middle_name": "RICHARD",
"name_prefix": "Mr.",
"credential": "BCO BADO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-18",
"last_updated": "2007-11-28",
"status": "A"
},
"taxonomies": [
{
"code": "156FX1700X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Ocularist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FDA",
"identifier": "1933222",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100218340A",
"state": "KS"
}
],
"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 Nov 28, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.