Christopher William Dendurent
Individual provider Active NPI Other Technician · Goddard, KS
NPI 1750138285 · NPPES record last updated May 2, 2024
Key facts
- NPI
- 1750138285
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Other Technician 247200000X
- Practice address
- 16209 W Sheriac CT
Goddard, KS 67052-9572 - Phone
- (316) 640-2396
- NPI assigned
- May 2, 2024
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Other Technician | 247200000X | Yes |
Addresses
Primary practice location
16209 W Sheriac CT
Goddard, KS 67052-9572
Mailing address
16209 W Sheriac CT
Goddard, KS 67052-9572
Phone (316) 640-2396
Other providers in Goddard, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 2, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.