Joseph R Lickteig, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

12-00126 Issued in KS

Practice address

758 S Hillside St
Wichita, KS 67211-3020

Phone

(316) 686-2106

Fax

(316) 686-5974

NPI assigned

Jun 25, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KS

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

California School of Podiatric Medicine, 1974

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1151193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454889600000",
    "number": "1982630422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "758 S HILLSIDE ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672113020",
            "telephone_number": "316-686-2106",
            "fax_number": "316-686-5974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "758 S HILLSIDE ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672113020",
            "telephone_number": "316-686-2106",
            "fax_number": "316-686-5974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LICKTEIG",
        "first_name": "JOSEPH",
        "middle_name": "R",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-25",
        "last_updated": "2016-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "KS",
            "license": "12-00126",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kevin He Li
• Shuo Li, M.D.
• Libertas Corp.
• Aspen Liby
• Jonas Lichty, DDS, MD
• Macy Lickteig, PA-C
• Kenneth Liebenau, PHD
• Jared Liebl, PMHNP
• Richard E Liepins, DO
• Brittany Lies, RN, BSN

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.