Organization Active NPI

Seneca Family Dentistry

  • General Practice Dentistry
  • Wichita, KS
National Provider Identifier
1699228379
Registry record updated Jul 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
60967 Issued in KS
Legal business name
SENECA FAMILY DENTISTRY
Practice address
2860 S Seneca St
Wichita, KS 67217-2865
Phone
(316) 522-4759
Fax
(316) 522-3250
NPI assigned
Jul 28, 2016
Last updated
Jul 28, 2016By the provider in NPPES
Organization subpart
Yes
Parent organization
SENECA FAMILY DENTISTRYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 28, 2016

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

Authorized official

Name
Maxwell Eugene White, DDS
Title
Dentist
Phone
(316) 522-4759

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 60967 KS Primary

Addresses

Primary practice location

2860 S Seneca St
Wichita, KS 67217-2865

Mailing address

2860 S Seneca St
Suite C
Wichita, KS 67217-2865
Phone (316) 522-4759

National Provider Directory

National Provider Directory
Part of
Seneca Family Dentistry

Locations

2860 S Seneca St
Wichita, KS 67217
Phone (316) 522-4759

2860 S Seneca St
Ste C
Wichita, KS 67217
Phone (316) 522-4759

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1469664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1469664000000",
    "number": "1699228379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2860 S SENECA ST",
            "address_2": "SUITE C",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672172865",
            "telephone_number": "316-522-4759",
            "fax_number": "316-522-3250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2860 S SENECA ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672172865",
            "telephone_number": "316-522-4759",
            "fax_number": "316-522-3250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENECA FAMILY DENTISTRY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SENECA FAMILY DENTISTRY",
        "enumeration_date": "2016-07-28",
        "last_updated": "2016-07-28",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "MAXWELL",
        "authorized_official_middle_name": "EUGENE",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "316-522-4759",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KS",
            "license": "60967",
            "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 Jul 28, 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.