Organization Active NPI

Dean W. Baesel, D.D.S., P.a.

  • Dental Clinic/Center
  • Wichita, KS
National Provider Identifier
1730277609
Registry record updated May 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
5315 Issued in KS
Legal business name
DEAN W. BAESEL, D.D.S., P.A.
Practice address
881 N Tyler Rd
Wichita, KS 67212-3200
Phone
(316) 722-6717
NPI assigned
Oct 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2022

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

Authorized official

Name
Dr. Dean William Baesel, D.D.S
Title
President
Phone
(316) 722-6717

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 5315 KS Primary

Addresses

Primary practice location

881 N Tyler Rd
Wichita, KS 67212-3200

Mailing address

881 N Tyler Rd
Wichita, KS 67212-3200
Phone (316) 722-6717

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652918400000",
    "number": "1730277609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "881 N TYLER RD",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672123200",
            "telephone_number": "316-722-6717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "881 N TYLER RD",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672123200",
            "telephone_number": "316-722-6717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEAN W. BAESEL, D.D.S., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-10",
        "last_updated": "2022-05-19",
        "status": "A",
        "authorized_official_last_name": "BAESEL",
        "authorized_official_first_name": "DEAN",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "316-722-6717",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "KS",
            "license": "5315",
            "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 May 19, 2022; 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.