Individual provider Active NPI

Hanh T Kieu, DENTAL HYGENTIST

  • Dental Hygienist
  • Wichita, KS
National Provider Identifier
1619244944
Registry record updated Dec 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
License
10232 Issued in KS
Practice address
2318 E Central Ave
Wichita, KS 67214-4436
Phone
(316) 269-0677
Fax
(316) 262-0318
NPI assigned
Dec 1, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Hygienist 124Q00000X 10232 KS Primary

Addresses

Primary practice location

2318 E Central Ave
Wichita, KS 67214-4436

Mailing address

2318 E Central Ave
Wichita, KS 67214-4436
Phone (316) 269-0677

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
10232KSMDDental Hygienist

NPI Registry JSON

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

{
    "created_epoch": "1322697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322697600000",
    "number": "1619244944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2318 E CENTRAL AVE",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672144436",
            "telephone_number": "316-269-0677",
            "fax_number": "316-262-0318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2318 E CENTRAL AVE",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672144436",
            "telephone_number": "316-269-0677",
            "fax_number": "316-262-0318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIEU",
        "first_name": "HANH",
        "middle_name": "T",
        "credential": "DENTAL HYGENTIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-01",
        "last_updated": "2011-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "KS",
            "license": "10232",
            "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 1, 2011; 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.