Organization Active NPI

Wellington Family Dentistry

  • General Practice Dentistry
  • Wellington, KS
National Provider Identifier
1851485502
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
WELLINGTON FAMILY DENTISTRY
Practice address
119 East Lincoln
Wellington, KS 67152
Phone
(620) 326-7983
Fax
(620) 326-8094
NPI assigned
Oct 3, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Ty M Reusser, D.D.S.
Title
President
Phone
(620) 326-7983

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X Primary

Addresses

Primary practice location

119 East Lincoln
Wellington, KS 67152

Mailing address

119 East Lincoln
Wellington, KS 67152
Phone (620) 326-7983

Other names 1

  • reusser & reusser Premier Dental Design Team Other name

National Provider Directory

National Provider Directory

Locations

119 E Lincoln Ave
Wellington, KS 67152
Phone (620) 326-7983

Practitioners & affiliated clinicians

Practitioners 2

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": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1851485502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 EAST LINCOLN",
            "city": "WELLINGTON",
            "state": "KS",
            "postal_code": "67152",
            "telephone_number": "620-326-7983",
            "fax_number": "620-326-8094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 EAST LINCOLN",
            "city": "WELLINGTON",
            "state": "KS",
            "postal_code": "67152",
            "telephone_number": "620-326-7983",
            "fax_number": "620-326-8094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLINGTON FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "REUSSER",
        "authorized_official_first_name": "TY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "620-326-7983",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "reusser & reusser Premier Dental Design Team",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Wellington, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.