Individual provider Active NPI

Joseph Ricks Tingey, DDS

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Wichita, KS
National Provider Identifier
1942566476
Registry record updated Nov 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X
License
61161 Issued in KS
Practice address
3510 N Ridge Rd
Suite 500
Wichita, KS 67205-1224
Phone
(316) 722-0800
Fax
(316) 722-5822
NPI assigned
Apr 10, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 61161 KS
Student in an Organized Health Care Education/Training Program 390200000X
Oral & Maxillofacial Surgery (D.M.D.) 204E00000X 61161 KS Primary

Addresses

Primary practice location

3510 N Ridge Rd
Suite 500
Wichita, KS 67205-1224

Mailing address

3510 N Ridge Rd
Suite 500
Wichita, KS 67205-1224
Phone (316) 722-0800

Other practice location 1

10111 E 21st St N Ste 107
Wichita, KS 67206-3555
Phone (316) 722-0800

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)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1334016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573516800000",
    "number": "1942566476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3510 N RIDGE RD",
            "address_2": "SUITE 500",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672051224",
            "telephone_number": "316-722-0800",
            "fax_number": "316-722-5822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3510 N RIDGE RD",
            "address_2": "SUITE 500",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672051224",
            "telephone_number": "316-722-0800",
            "fax_number": "316-722-5822"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10111 E 21st St N Ste 107",
            "address_purpose": "LOCATION",
            "city": "Wichita",
            "state": "KS",
            "postal_code": "672063555",
            "country_code": "US",
            "telephone_number": "316-722-0800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TINGEY",
        "first_name": "JOSEPH",
        "middle_name": "RICKS",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-10",
        "last_updated": "2019-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "KS",
            "license": "61161",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "KS",
            "license": "61161",
            "primary": true
        }
    ],
    "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 Nov 12, 2019; 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.