John D. Gagnon DDS PA

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

6850 Issued in KS

Legal business name

JOHN D. GAGNON DDS PA

Practice address

3510 N Ridge Rd
Suite 500
Wichita, KS 67205-1224

Phone

(316) 722-0800

Fax

(316) 722-5822

NPI assigned

Dec 14, 2006

Organization subpart

No

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

Authorized official

Name

John D Gagnon, DDS

Title

Owner

Phone

(316) 722-0800

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266364800000",
    "number": "1609938976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3510 N RIDGE RD",
            "address_2": "SUITE 500",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672051224",
            "telephone_number": "316-722-0800",
            "fax_number": "316-722-5822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3510 N RIDGE RD",
            "address_2": "SUITE 500",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672051224",
            "telephone_number": "316-722-0800",
            "fax_number": "316-722-5822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN D. GAGNON DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-14",
        "last_updated": "2010-02-17",
        "status": "A",
        "authorized_official_last_name": "GAGNON",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "316-722-0800",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "KS",
            "license": "6850",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ericka Jobe, PHD, LSCSW, LCSW
• Jobs U Make Possible (Jump)
• Joe Steve, Jr., DDS,P.a.
• Frazier Joel
• John a Degrado, D.C. (Meridian Chiropractic Center)
• John Dopps Chiropractor PA Inc
• John K. Hoerner, M.D., PA
• John R Provenzano DDS,PA
• John W. Ormiston, LLC
• John Wesley Waren (Waren Optometry)

• Oral and Maxillofacial Surgery (Dentist) in Wichita, KS
• Providers in Wichita, KS by specialty
• Oral and Maxillofacial Surgery (Dentist) in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2010; 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.