Thomas Kieu, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

61941 Issued in KS

Practice address

5315 E 21St St N
Wichita, KS 67208-1600

Phone

(316) 768-6408

NPI assigned

Jul 2, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Smile Craft Dental, LLC

  • Dentist
  • Wichita, KS
  • NPI 1861014367
  NPD (past)

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

{
    "created_epoch": "1656720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656720000000",
    "number": "1770216244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4102 E CENTRAL AVE",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672083820",
            "telephone_number": "316-200-5706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5315 E 21ST ST N",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672081600",
            "telephone_number": "316-768-6408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIEU",
        "first_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-07-02",
        "last_updated": "2022-07-02",
        "certification_date": "2022-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KS",
            "license": "61941",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chung Kiefer, RN
• Lynn Kientz
• Daniel D Kieu, D.D.S.
• Hanh T Kieu, DENTAL HYGENTIST
• Thomas Kieu, HYGIENIST RDH
• Richard Greg Kile, PA-C
• Genevieve Kilgen-Henry, OCCUPATIONAL THERAPI
• William R Kilgore, MD
• Tyler Kilian, NURSE PRACTITIONER
• Anna Christine Kill, APRN

• General Practice Dentistry in Wichita, KS
• Providers in Wichita, KS by specialty
• General Practice Dentistry in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 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.