Organization Active NPI

David R. Koepsel D.D.S., LLC

  • Dentist
  • Wichita, KS
National Provider Identifier
1669832044
Registry record updated Feb 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
DAVID R. KOEPSEL D.D.S., LLC
Practice address
8150 E Douglas Ave
Suite 10
Wichita, KS 67206-2376
Phone
(316) 686-7395
Fax
(316) 613-2506
NPI assigned
Feb 29, 2016
Last updated
Feb 29, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 29, 2016

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

Authorized official

Name
Dr. David R. Koepsel, D.D.S.
Title
Owner/Dentist
Phone
(316) 686-7395

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X KS Primary

Addresses

Primary practice location

8150 E Douglas Ave
Suite 10
Wichita, KS 67206-2376

Mailing address

8150 E Douglas Ave
Suite 10
Wichita, KS 67206-2376
Phone (316) 686-7395

Other names 1

  • East Wichita Dentist Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1456704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456704000000",
    "number": "1669832044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8150 E DOUGLAS AVE",
            "address_2": "SUITE 10",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672062376",
            "telephone_number": "316-686-7395",
            "fax_number": "316-613-2506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8150 E DOUGLAS AVE",
            "address_2": "SUITE 10",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672062376",
            "telephone_number": "316-686-7395",
            "fax_number": "316-613-2506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID R. KOEPSEL D.D.S., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-29",
        "last_updated": "2016-02-29",
        "status": "A",
        "authorized_official_last_name": "KOEPSEL",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "316-686-7395",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "KS",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "East Wichita Dentist",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Feb 29, 2016; 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.