Active NPI
Thomas Jacob Lawlis, DDS
- Dentist
- Wichita, KS
National Provider Identifier
1891432001
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 61889
- Practice address
- 1431 S Bluffview Dr
Wichita, KS 67218-3010 - Phone
- (316) 686-7155
- NPI assigned
- May 18, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 61889 | KS | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
1431 S Bluffview Dr
Wichita, KS 67218-3010
Mailing address
924 E Morrison Dr
Derby, KS 67037-1937
Phone (620) 262-6077
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 61889 | KS | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1652832000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1654473600000",
"number": "1891432001",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "924 E MORRISON DR",
"city": "DERBY",
"state": "KS",
"postal_code": "670371937",
"telephone_number": "620-262-6077"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1431 S BLUFFVIEW DR",
"city": "WICHITA",
"state": "KS",
"postal_code": "672183010",
"telephone_number": "316-686-7155"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAWLIS",
"first_name": "THOMAS",
"middle_name": "JACOB",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-05-18",
"last_updated": "2022-06-06",
"certification_date": "2022-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "KS",
"license": "61889",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
}
],
"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 Jun 6, 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.