Gregory J Partridge DDS, Estate

Primary specialty

DentistTaxonomy code 122300000X

License

6123 Issued in KS

Legal business name

GREGORY J PARTRIDGE DDS, ESTATE

Practice address

841 S Hillside St
Wichita, KS 67211-3005

Phone

(316) 681-1530

Fax

(316) 682-5231

NPI assigned

Oct 8, 2013

Last updated

Oct 8, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Teresa L Rose

Title

Owner

Phone

(425) 238-7426

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1381190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381190400000",
    "number": "1740617612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "841 S HILLSIDE ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672113005",
            "telephone_number": "316-681-1530",
            "fax_number": "316-682-5231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "841 S HILLSIDE ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672113005",
            "telephone_number": "316-681-1530",
            "fax_number": "316-682-5231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREGORY J PARTRIDGE DDS, ESTATE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-08",
        "last_updated": "2013-10-08",
        "status": "A",
        "authorized_official_last_name": "ROSE",
        "authorized_official_first_name": "TERESA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "425-238-7426",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "KS",
            "license": "6123",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10222990A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Greg Peterson LLC
• Adam Thomas Gregg, MD
• Brenna Marie Gregg, LPC
• Hollie Gregg
• Gregory F Duick MD PA
• Joel Gregory
• Bart A Grelinger, MD
• Grene Surgery Center LLC (EyeCare Partners Surgery Center)
• Grene Vision Group LLC
• Grene Vision Group LLC

• Dentist in Wichita, KS
• Providers in Wichita, KS by specialty
• Dentist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2013; 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.