Individual provider Active NPI

Dwight L Lindholm, MD

  • Pediatrics Physician
  • Wichita, KS
National Provider Identifier
1659388817
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
04-18891 Issued in KS
Practice address
6611 E Central Ave
Ste #G
Wichita, KS 67206-1937
Phone
(316) 651-0033
Fax
(316) 652-8912
NPI assigned
Aug 1, 2006
Last updated
Sep 11, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 04-18891 KS Primary
Neurology with Special Qualifications in Child Neurology Physician 2084N0402X 04-18891 KS

Addresses

Primary practice location

6611 E Central Ave
Ste #G
Wichita, KS 67206-1937

Mailing address

6611 E Central Ave
Ste #G
Wichita, KS 67206-1937
Phone (316) 651-0033

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 1, 2022 through Jan 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
04-18891KSMDPediatrics Physician

NPI Registry JSON

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1659388817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6611 E CENTRAL AVE",
            "address_2": "STE #G",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672061937",
            "telephone_number": "316-651-0033",
            "fax_number": "316-652-8912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6611 E CENTRAL AVE",
            "address_2": "STE #G",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672061937",
            "telephone_number": "316-651-0033",
            "fax_number": "316-652-8912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINDHOLM",
        "first_name": "DWIGHT",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-01",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "KS",
            "license": "04-18891",
            "primary": true
        },
        {
            "code": "2084N0402X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
            "state": "KS",
            "license": "04-18891",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.