MOXLEY FAMILY DENTAL, LLC (NPI# 1225653959) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225653959 |
| Entity Type | Organization |
| Organization Name | MOXLEY FAMILY DENTAL, LLC |
| Practice Address |
15455 E 13th St N Wichita KS 67230-7572 |
| Practice Telephone | 3163048884 |
| Mailing Telephone | 3163048884 |
| Enumeration Date | 2020-06-09 |
| Last Update Date | 2020-06-09 |
| Authorized Official Name | DR. MARIAH MOXLEY (DENTIST/OWNER) |
| Authorized Official Telephone | 3163048884 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
| Street Address |
15455 E 13TH ST N |
| City | WICHITA |
| State | KS |
| Zip Code | 67230-7572 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043468051 | Charles W Grauel | Anesthesiology | 14821 Sharon Lane, Wichita, KS 67230 | 2008-09-03 |
| 1205933686 | Gregory S. Linhardt | Anesthesiology | 1701 Rocky Glen, Wichita, KS 67230 | 2006-09-20 |
| 1437127123 | David Rosen | Specialist | 24 Sandpiper Ct., Wichita, KS 67230 | 2006-03-09 |
| 1871821876 | Richard J Cummings | Otolaryngology | 1258 Burning Tree Drive, Wichita, KS 67230-1410 | 2009-12-02 |
| 1588101232 | True Home Care | In Home Supportive Care | 12828 E 13th St N, Wichita, KS 67230-1465 | 2017-01-19 |
| 1407237084 | Trey Anderson | Dentist | 700 N Preston Trl, Wichita, KS 67230-1505 | 2015-06-09 |
| 1609940675 | Wayne Mason | Radiology | 701 N Preston Trl, Wichita, KS 67230-1525 | 2006-11-20 |
| 1477799260 | The Wound Nurse, LLC | Durable Medical Equipment & Medical Supplies | 716 N Saint Andrews St, Wichita, KS 67230-1531 | 2008-12-28 |
| 1346841749 | Mick Emerson Harris | Specialist/Technologist | 523 N Birkdale Ct, Wichita, KS 67230-1532 | 2020-11-03 |
| 1033325626 | Laurie Hughey | Speech-Language Pathologist | 3 E Stonebridge Cir, Wichita, KS 67230-1560 | 2007-05-14 |
| Find all providers in zip 67230 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518504976 | M&m Family Dentistry LLC | Clinic/Center | 9319 E Harry St Ste 126, Wichita, KS 67207-5070 | 2019-12-04 |
| 1437648490 | Reusser and Reusser LLC | Clinic/Center | 2203 N Sweetbriar St, Wichita, KS 67204-5518 | 2018-05-05 |
| 1730277609 | Dean W. Baesel, D.d.s., P.a. | Clinic/Center | 881 N Tyler Rd, Wichita, KS 67212-3200 | 2006-10-10 |
| 1245839331 | Andrew D Johnson Dds | Clinic/Center | 2203 N Sweetbriar St, Wichita, KS 67204-5518 | 2020-10-20 |
| 1639799307 | Witchita 21st Dental, Pa | Clinic/Center | 10333 E 21st St N, Wichita, KS 67206-3543 | 2020-04-22 |
| 1376005124 | Cambridge Family Dentistry, P.a. | Clinic/Center | 2020 N Webb Rd Ste 301, Wichita, KS 67206-3410 | 2019-04-02 |
| 1639345606 | Jack W Miller Dds Pa | Clinic/Center | 2203 Sweetbriar St, Wichita, KS 67204-5518 | 2008-04-30 |
| 1194925735 | Dugan Family Dentistry, Pa | Clinic/Center | 7405 W Central Ave, Wichita, KS 67212 | 2007-07-23 |
| 1033317458 | Winter Park Dentistry, P.a. | Clinic/Center | 1445 N Ridge Rd, Wichita, KS 67212-2985 | 2007-07-06 |
| 1679608459 | Kevin K. Christensen, D.d.s., P.a. | Clinic/Center | 2860 S Seneca St, Suite C, Wichita, KS 67217-2865 | 2007-02-22 |
| Find all providers in WICHITA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.