Organization Active NPI

Riordan Clinic, Inc

  • Family Medicine Physician
  • Wichita, KS
National Provider Identifier
1902912686
Registry record updated Jan 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0417711 Issued in KS
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

Updated by the provider on Jan 12, 2011

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)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 0104594 KS
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X 0417711 KS Primary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X 0430080 KS
Radiation Oncology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

NPI 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.

Verify at the official NPI Registry.