Individual provider Active NPI

Sam S Amirani, D.D.S.

  • General Practice Dentistry
  • Wichita, KS
National Provider Identifier
1831151471
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
7063 Issued in KS
Practice address
1431 Bluffview St
Ste 212
Wichita, KS 67218-3039
Phone
(316) 686-7155
Fax
(316) 686-4209
NPI assigned
Apr 6, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 7063 KS Primary

Addresses

Primary practice location

1431 Bluffview St
Ste 212
Wichita, KS 67218-3039

Mailing address

1431 Bluffview St
Ste 212
Wichita, KS 67218-3039
Phone (316) 686-7155

Other identifiers 1

IdentifierTypeStateIssuer
116700OtherKSBLUE CROSS BLUE SHIELD ID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170103000390 KS Order and Referring Only - DentistPractitioner - Dentist 9931480175

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
S. Amirani DDS, PA General Practice Past Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1144281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1831151471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1431 BLUFFVIEW ST",
            "address_2": "STE 212",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672183039",
            "telephone_number": "316-686-7155",
            "fax_number": "316-686-4209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1431 BLUFFVIEW ST",
            "address_2": "STE 212",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672183039",
            "telephone_number": "316-686-7155",
            "fax_number": "316-686-4209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMIRANI",
        "first_name": "SAM",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-06",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KS",
            "license": "7063",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD ID",
            "identifier": "116700",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.