Organization Active NPI

Healthy Options for Planeview

  • Dentist
  • Wichita, KS
National Provider Identifier
1528024742
Registry record updated Jul 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
60019 Issued in KS
Legal business name
HEALTHY OPTIONS FOR PLANEVIEW
Practice address
3620 E Sunnybrook LN
Suite C
Wichita, KS 67210-1464
Phone
(316) 651-5357
Fax
(316) 651-5357
NPI assigned
Apr 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2008

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

Authorized official

Name
Dr. Ruth B Pickard, PH.D
Title
Executive Director
Phone
(316) 978-5637

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X 60019 KS Primary

Addresses

Primary practice location

3620 E Sunnybrook LN
Suite C
Wichita, KS 67210-1464

Mailing address

4501 E 47TH St S
Room A104
Wichita, KS 67210-1651
Phone (316) 978-8011

Other identifiers 3

IdentifierTypeStateIssuer
200370570BMedicaidKS
200370570AMedicaidKS
0000421786OtherKSDENTAL

Other names 1

  • HEALTHY OPTIONS FOR KANSAS COMMUNITIES (HOP) Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Healthy Options for Planeview2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4501 E 47th St S
Rm A104
Wichita, KS 67210

3620 E Sunnybrook Ln
Ste C
Wichita, KS 67210
Phone (316) 651-0062

NPI Registry JSON

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

{
    "created_epoch": "1145923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215475200000",
    "number": "1528024742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4501 E 47TH ST S",
            "address_2": "ROOM A104",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672101651",
            "telephone_number": "316-978-8011",
            "fax_number": "316-554-2650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3620 E SUNNYBROOK LN",
            "address_2": "SUITE C",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672101464",
            "telephone_number": "316-651-5357",
            "fax_number": "316-651-5357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHY OPTIONS FOR PLANEVIEW",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-25",
        "last_updated": "2008-07-08",
        "status": "A",
        "authorized_official_last_name": "PICKARD",
        "authorized_official_first_name": "RUTH",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "316-978-5637",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "KS",
            "license": "60019",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200370570B",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200370570A",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL",
            "identifier": "0000421786",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HEALTHY OPTIONS FOR KANSAS COMMUNITIES (HOP)",
            "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 8, 2008; 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.