Organization Active NPI

Wichita Diagnostic Partners, PLLC

  • Sleep Disorder Diagnostic Clinic/Center
  • Corsicana, TX
National Provider Identifier
1669611778
Registry record updated Nov 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X
Legal business name
WICHITA DIAGNOSTIC PARTNERS, PLLC
Practice address
639 N 13TH St
Corsicana, TX 75110-3015
Phone
(866) 654-9911
NPI assigned
Feb 12, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2011

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

Authorized official

Name
Mr. Kameron Smith
Title
Member
Phone
(866) 654-9911

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Disorder Diagnostic Clinic/Center 261QS1200X TX Primary

Addresses

Primary practice location

639 N 13TH St
Corsicana, TX 75110-3015

Mailing address

639 N 13TH St
Corsicana, TX 75110-3015
Phone (866) 654-9911

National Provider Directory

National Provider Directory

Locations

4110 Kell Blvd
Wichita Falls, TX 76309

NPI Registry JSON

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

{
    "created_epoch": "1234396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321401600000",
    "number": "1669611778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "639 N 13TH ST",
            "city": "CORSICANA",
            "state": "TX",
            "postal_code": "751103015",
            "telephone_number": "866-654-9911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "639 N 13TH ST",
            "city": "CORSICANA",
            "state": "TX",
            "postal_code": "751103015",
            "telephone_number": "866-654-9911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WICHITA DIAGNOSTIC PARTNERS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-12",
        "last_updated": "2011-11-16",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "KAMERON",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "866-654-9911",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corsicana, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 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.