Breanna Kristen Wiles, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

61141 Issued in KS

Practice address

1537 E 17TH Ave
Hutchinson, KS 67501-1114

Phone

(701) 238-6221

NPI assigned

May 31, 2016

Last updated

Sep 10, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1464652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757462400000",
    "number": "1861840852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1537 E 17TH AVE",
            "city": "HUTCHINSON",
            "state": "KS",
            "postal_code": "675011114",
            "telephone_number": "701-238-6221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1537 E 17TH AVE",
            "city": "HUTCHINSON",
            "state": "KS",
            "postal_code": "675011114",
            "telephone_number": "701-238-6221"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "334 S Ridge Rd",
            "address_purpose": "LOCATION",
            "city": "Wichita",
            "state": "KS",
            "postal_code": "672092230",
            "country_code": "US",
            "telephone_number": "316-221-8874",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILES",
        "first_name": "BREANNA",
        "middle_name": "KRISTEN",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-31",
        "last_updated": "2025-09-10",
        "certification_date": "2025-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "GA",
            "license": "DN15315",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "KS",
            "license": "61141",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William R Whitlow, D.D.S.
• Benjamin Lane Whittredge, O.D.
• Wichert Optometry LLC
• Brent Alan Wichert, O.D.
• Kimberly Widler, NP-C
• Matthew Wiles, DDS
• Lynette Renee Wilkening, LSCSW
• Greg A Wilkens, D.C.
• Sarah Elizabeth Willard, M.A., CFY-SLP
• Williams Medical Group Practice, LLC (Integrity Urgent Care)

• Dentist in Hutchinson, KS
• Providers in Hutchinson, KS by specialty
• Dentist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.