Wichita Dental Group PA

Primary specialty

DentistTaxonomy code 122300000X

License

6445 Issued in KS

Legal business name

WICHITA DENTAL GROUP PA

Practice address

301 N Main St
Suite 1420
Wichita, KS 67202-4800

Phone

(316) 265-0849

Fax

(316) 265-6307

NPI assigned

Oct 4, 2012

Organization subpart

No

Name

Dr. John M Lewis, DDSNPI 1942248786

Title

President

Phone

(316) 265-0849

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• John M Lewis, D.D.S.

  • General Practice Dentistry
  • Wichita, KS
  • NPI 1942248786
  NPD (past) Authorized official
• Paul Lewis, DDS

  • Dentist
  • Wichita, KS
  • NPI 1356966352
  NPD (past)
• Tonk Mills, D.D.S.

  • General Practice Dentistry
  • Wichita, KS
  • NPI 1972542074
  NPD (past)

Locations

• Lewis & Mills DDS PA Former legal business name

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 4, 2012.

{
    "created_epoch": "1349308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349308800000",
    "number": "1528310331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 N MAIN ST",
            "address_2": "SUITE 1420",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672024800",
            "telephone_number": "316-265-0849",
            "fax_number": "316-265-6307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 N MAIN ST",
            "address_2": "SUITE 1420",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672024800",
            "telephone_number": "316-265-0849",
            "fax_number": "316-265-6307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WICHITA DENTAL GROUP PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-04",
        "last_updated": "2012-10-04",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "316-265-0849",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "KS",
            "license": "6445",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lewis & Mills DDS PA",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• All providers in Wichita, KS
• Dentist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2012; 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.