Individual provider Active NPI

Joseph P Houlik, DDS

  • Dentist
  • Wichita, KS
National Provider Identifier
1700231271
Registry record updated Jun 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
61159 Issued in KS
Practice address
2759 N Tyler Rd
Wichita, KS 67205-8711
Phone
(316) 721-4334
NPI assigned
May 3, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 20, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 61159 KS Primary

Addresses

Primary practice location

2759 N Tyler Rd
Wichita, KS 67205-8711

Mailing address

1901 N Webb Rd
Wichita, KS 67206-3415
Phone (316) 685-8881

Other practice location 1

119 E Lincoln Ave
Wellington, KS 67152-3046
Phone (620) 326-7983

Other practice location 2

1901 N Webb Rd
Wichita, KS 67206-3415
Phone (316) 685-8881

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161117000463 KS Order and Referring Only - DentistPractitioner - Dentist 3971882879

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Joseph P Houlik, DDS, LLC CurrentSince Jun 26, 2022 Accepting new patients
Houlik Family Dentistry CurrentSince Jun 26, 2022 Accepting new patients
Livewell Dental LLC CurrentSince Sep 19, 2025 Accepting new patients
Wellington Family Dentistry Past Accepting new patients
Grant E Phipps DDS PA Past Accepting new patients

Locations

2759 N Tyler Rd
Wichita, KS 67205
Phone (316) 644-0669

1901 N Webb Rd
Wichita, KS 67206
Phone (316) 655-3214

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1462233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655683200000",
    "number": "1700231271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 N WEBB RD",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672063415",
            "telephone_number": "316-685-8881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2759 N TYLER RD",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672058711",
            "telephone_number": "316-721-4334"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "119 E Lincoln Ave",
            "address_purpose": "LOCATION",
            "city": "Wellington",
            "state": "KS",
            "postal_code": "671523046",
            "country_code": "US",
            "telephone_number": "620-326-7983",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1901 N Webb Rd",
            "address_purpose": "LOCATION",
            "city": "Wichita",
            "state": "KS",
            "postal_code": "672063415",
            "country_code": "US",
            "telephone_number": "316-685-8881",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOULIK",
        "first_name": "JOSEPH",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-05-03",
        "last_updated": "2022-06-20",
        "certification_date": "2022-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "KS",
            "license": "61159",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.