Organization Active NPI

Children's Dental Professionals

  • Pediatric Dentistry
  • Wichita, KS
National Provider Identifier
1811266042
Registry record updated Oct 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
CHILDREN'S DENTAL PROFESSIONALS
Practice address
6943 W 37TH St N
Wichita, KS 67205-9302
Phone
(316) 613-2077
Fax
(316) 613-2969
NPI assigned
Dec 16, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2016

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

Authorized official

Name
Dr. Mariah L Frazier, DDSNPI 1316154081
Title
Pediatric Dentist
Phone
(316) 613-2077

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
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X Primary

Addresses

Primary practice location

6943 W 37TH St N
Wichita, KS 67205-9302

Mailing address

6943 W. 37TH Street N.
Wichita, KS 67205-9365
Phone (316) 613-2077

National Provider Directory

National Provider Directory

Locations

6943 W 37th St N
Wichita, KS 67205
Phone (316) 613-2077

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1323993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477008000000",
    "number": "1811266042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6943 W. 37TH STREET N.",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672059365",
            "telephone_number": "316-613-2077",
            "fax_number": "316-613-2969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6943 W 37TH ST N",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672059302",
            "telephone_number": "316-613-2077",
            "fax_number": "316-613-2969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDREN'S DENTAL PROFESSIONALS",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-16",
        "last_updated": "2016-10-21",
        "status": "A",
        "authorized_official_last_name": "FRAZIER",
        "authorized_official_first_name": "MARIAH",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PEDIATRIC DENTIST",
        "authorized_official_telephone_number": "316-613-2077",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "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 Oct 21, 2016; 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.