NPIMap

Organization Active NPI

Twietmeyer Family Dentistry LLC

  • Dental Clinic/Center
  • Wichita, KS
National Provider Identifier
1770187452
Registry record updated Nov 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
TWIETMEYER FAMILY DENTISTRY LLC
Practice address
3920 W 31St St S
Wichita, KS 67217-1112
Phone
(316) 942-3113
NPI assigned
Nov 24, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2020

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

Authorized official

Name
Dr. Charles D Twietmeyer, DMDNPI 1053763714
Title
General Dentist
Phone
(316) 942-3113

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

3920 W 31St St S
Wichita, KS 67217-1112

Mailing address

3920 W 31St St S
Wichita, KS 67217-1112
Phone (316) 942-3113

Other practice location 1

107 N Main St
Cheney, KS 67025-8844
Phone (316) 540-3171

Other names 1

  • Twietmeyer Family Dentistry Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL WICHITA

National Provider Directory

National Provider Directory

Locations

3920 W 31st St S
Wichita, KS 67217
Phone (316) 942-3113

Practitioners & affiliated clinicians

Practitioners 3

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": "1606176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606176000000",
    "number": "1770187452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3920 W 31ST ST S",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672171112",
            "telephone_number": "316-942-3113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3920 W 31ST ST S",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672171112",
            "telephone_number": "316-942-3113"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "107 N Main St",
            "address_purpose": "LOCATION",
            "city": "Cheney",
            "state": "KS",
            "postal_code": "670258844",
            "country_code": "US",
            "telephone_number": "316-540-3171",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TWIETMEYER FAMILY DENTISTRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-24",
        "last_updated": "2020-11-24",
        "certification_date": "2020-11-24",
        "status": "A",
        "authorized_official_last_name": "TWIETMEYER",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "GENERAL DENTIST",
        "authorized_official_telephone_number": "316-942-3113",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "WICHITA",
            "affiliation": "N",
            "address_1": "3920 W 31st St S",
            "city": "Wichita",
            "state": "KS",
            "country_code": "US",
            "postal_code": "672171112",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Twietmeyer Family Dentistry",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Nov 24, 2020; 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.