NPIMap

Organization Active NPI

My Dentist Wichita, DDS, PA

  • Dentist
  • Wichita, KS
National Provider Identifier
1598108508
Registry record updated Dec 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
MY DENTIST WICHITA, DDS, PA
Practice address
1443 N Rock Rd
Wichita, KS 67206-1245
Phone
(316) 295-2830
Fax
(316) 295-2833
NPI assigned
Apr 9, 2013
Organization subpart
Yes
Parent organization
MY DENTISTAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 16, 2013

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

Authorized official

Name
Jennifer Chambers, DDS
Title
Chief Dental Director
Phone
(405) 753-1237

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

1443 N Rock Rd
Wichita, KS 67206-1245

Mailing address

PO Box 702620
Tulsa, OK 74170-2620
Phone (405) 286-9024

National Provider Directory

National Provider Directory
Tax ID family
My Dentist Wichita DDS PA2 organizations share this tax ID, including this one
Part of
My Dentist Wichita DDS PA

Other organizations with this tax ID 1

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

Practitioners & affiliated clinicians

Practitioners 5

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

NPI Registry JSON

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

{
    "created_epoch": "1365465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1387152000000",
    "number": "1598108508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 702620",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741702620",
            "telephone_number": "405-286-9024",
            "fax_number": "405-286-9088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1443 N ROCK RD",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672061245",
            "telephone_number": "316-295-2830",
            "fax_number": "316-295-2833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY DENTIST WICHITA, DDS, PA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MY DENTIST",
        "enumeration_date": "2013-04-09",
        "last_updated": "2013-12-16",
        "status": "A",
        "authorized_official_last_name": "CHAMBERS",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "CHIEF DENTAL DIRECTOR",
        "authorized_official_telephone_number": "405-753-1237",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Dec 16, 2013; 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.