Active NPI
Riordan Clinic, Inc
- Family Medicine Physician
- Wichita, KS
National Provider Identifier
1902912686
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 0417711
- Legal business name
- RIORDAN CLINIC, INC
- Practice address
- 3100 N Hillside Ave
Wichita, KS 67219-3904 - Phone
- (316) 682-3100
- Fax
- (316) 618-8537
- NPI assigned
- Aug 22, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ronald E Hunninghake, MD
- Title
- Chief Medical Officer/Board Member
- Phone
- (316) 682-3100
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 0104594 | KS | |
| Family Medicine Physician | 207Q00000X | 0417711 | KS | Primary |
| Family Medicine Physician | 207Q00000X | 0430080 | KS | |
| Radiation Oncology Physician | 2085R0001X | 0432003 | KS |
Addresses
Primary practice location
3100 N Hillside Ave
Wichita, KS 67219-3904
Mailing address
3100 N Hillside Ave
Wichita, KS 67219-3904
Phone (316) 682-3100
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156204800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1294790400000",
"number": "1902912686",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3100 N HILLSIDE AVE",
"city": "WICHITA",
"state": "KS",
"postal_code": "672193904",
"telephone_number": "316-682-3100",
"fax_number": "316-618-8537"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3100 N HILLSIDE AVE",
"city": "WICHITA",
"state": "KS",
"postal_code": "672193904",
"telephone_number": "316-682-3100",
"fax_number": "316-618-8537"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RIORDAN CLINIC, INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-22",
"last_updated": "2011-01-12",
"status": "A",
"authorized_official_last_name": "HUNNINGHAKE",
"authorized_official_first_name": "RONALD",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "CHIEF MEDICAL OFFICER/BOARD MEMBER",
"authorized_official_telephone_number": "316-682-3100",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "KS",
"license": "0104594",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "KS",
"license": "0417711",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "KS",
"license": "0430080",
"primary": false
},
{
"code": "2085R0001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Radiology, Radiation Oncology",
"state": "KS",
"license": "0432003",
"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 Jan 12, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.