Active NPI
Michael Jeremy Kendrick, BOC-ORTHOTIST
- Orthotist
- Wichita, KS
National Provider Identifier
1982028650
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthotist
- License
- C49982
- Practice address
- 7550 W Village Cir
Wichita, KS 67205-9363 - Phone
- (316) 838-2020
- Fax
- (316) 832-3920
- NPI assigned
- Feb 14, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthotist | 222Z00000X | C49982 | KS | Primary |
Addresses
Primary practice location
7550 W Village Cir
Wichita, KS 67205-9363
Mailing address
7550 W Village Cir
Wichita, KS 67205-9363
Phone (316) 838-2020
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C49982 | KS | MD | Orthotist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1392336000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1392336000000",
"number": "1982028650",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7550 W VILLAGE CIR",
"city": "WICHITA",
"state": "KS",
"postal_code": "672059363",
"telephone_number": "316-838-2020",
"fax_number": "316-832-3920"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7550 W VILLAGE CIR",
"city": "WICHITA",
"state": "KS",
"postal_code": "672059363",
"telephone_number": "316-838-2020",
"fax_number": "316-832-3920"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KENDRICK",
"first_name": "MICHAEL",
"middle_name": "JEREMY",
"credential": "BOC-ORTHOTIST",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-02-14",
"last_updated": "2014-02-14",
"status": "A"
},
"taxonomies": [
{
"code": "222Z00000X",
"taxonomy_group": "",
"desc": "Orthotist",
"state": "KS",
"license": "C49982",
"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 Feb 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.