Marketplace Dentistry, PA

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

MARKETPLACE DENTISTRY, PA

Practice address

10240 W 29TH St N Ste 102
Wichita, KS 67205-7914

Phone

(316) 252-3075

Fax

(316) 252-3080

NPI assigned

Apr 11, 2018

Organization subpart

No

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

Authorized official

Name

Brett T. Lyman, DDS

Title

Owner

Phone

(316) 252-3075

Specialties & licenses 1

Addresses

Other names 1

• Marketplace Dentistry Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Colton James Hartline, DDS

  • Dentist
  • Wichita, KS
  • NPI 1225688948
  NPD (past)

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

{
    "created_epoch": "1523404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652227200000",
    "number": "1972000420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 920050",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753920050",
            "telephone_number": "714-845-8500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10240 W 29TH ST N STE 102",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672057914",
            "telephone_number": "316-252-3075",
            "fax_number": "316-252-3080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARKETPLACE DENTISTRY, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-11",
        "last_updated": "2022-05-11",
        "certification_date": "2022-05-11",
        "status": "A",
        "authorized_official_last_name": "LYMAN",
        "authorized_official_first_name": "BRETT",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "316-252-3075",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Marketplace Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Dentist in Wichita, KS
• Providers in Wichita, KS by specialty
• Dentist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 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.

Verify at the official NPI Registry.