Active NPI
East WFD GPS LLC
- Dental Clinic/Center
- Wichita, KS
National Provider Identifier
1508546359
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- Legal business name
- EAST WFD GPS LLC
- Practice address
- 9339 E 21St St N
Wichita, KS 67206-2971 - Phone
- (316) 333-6446
- NPI assigned
- Jul 18, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- William Little
- Title
- Ceo
- Phone
- (870) 293-6264
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | Primary |
Addresses
Primary practice location
9339 E 21St St N
Wichita, KS 67206-2971
Mailing address
PO Box 17151
Jonesboro, AR 72403-6720
Other names 1
- Wichita Family Dental East
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1689638400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1689638400000",
"number": "1508546359",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 17151",
"city": "JONESBORO",
"state": "AR",
"postal_code": "724036720"
},
{
"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": "316-333-6446"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EAST WFD GPS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-07-18",
"last_updated": "2023-07-18",
"certification_date": "2023-07-18",
"status": "A",
"authorized_official_last_name": "LITTLE",
"authorized_official_first_name": "WILLIAM",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "870-293-6264"
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Wichita Family Dental East",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Jul 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.