Individual provider Active NPI

Tiffany Pinkston, DMD

  • Dentist
  • Wichita, KS
National Provider Identifier
1902415003
Registry record updated Mar 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
61681 Issued in KS
Practice address
8833 W Maple St
Wichita, KS 67209-1419
Phone
(316) 722-7331
Fax
(316) 722-7586
NPI assigned
Jul 24, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 61681 KS Primary

Addresses

Primary practice location

8833 W Maple St
Wichita, KS 67209-1419

Mailing address

8833 W Maple St
Wichita, KS 67209-1419
Phone (316) 722-7331

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
I20220606001118 KS Order and Referring Only - DentistPractitioner - Dentist 0547648438

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Foundation Dental Sleep Medicine LLC Dentist CurrentSince Nov 10, 2024 Accepting new patients
Gemdenta CurrentSince Oct 20, 2024 Accepting new patients

Locations

8833 W Maple St
Wichita, KS 67209
Phone (316) 722-7331

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1595548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773619200000",
    "number": "1902415003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8833 W MAPLE ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672091419",
            "telephone_number": "316-722-7331",
            "fax_number": "316-722-7586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8833 W MAPLE ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672091419",
            "telephone_number": "316-722-7331",
            "fax_number": "316-722-7586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PINKSTON",
        "first_name": "TIFFANY",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-24",
        "last_updated": "2026-03-16",
        "certification_date": "2026-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "KS",
            "license": "61681",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.