W.R. WHITLOW, D.D.S., PA (NPI# 1265530927) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265530927 |
| Entity Type | Organization |
| Organization Name | W.R. WHITLOW, D.D.S., PA |
| Practice Address |
1919 N Maize Rd Ste 200 Wichita KS 67212-5203 |
| Mailing Address |
2301 N Waldron St Hutchinson KS 67502-1133 |
| Practice Telephone | 3167214890 |
| Practice Fax Number | 3167211529 |
| Mailing Telephone | 6206631141 |
| Mailing Fax Number | 6206631373 |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2007-08-13 |
| Authorized Official Name | DR. WILLIAM R WHITLOW (PRESIDENT) |
| Authorized Official Telephone | 6206631141 |
| Authorized Official Credential | D.D.S. |
| Is Organization Subpart | Y |
| Parent Organization Name | W.R. WHITLOW, D.D.S., PA |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
6423 | KS | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | BLUE CROSS & BLUE SHIELD | 022839 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093818478 | W.r. Whitlow, D.d.s., Pa | Dentist | 2301 N. Waldron, Hutchinson, KS 67502-1133 | 2006-09-07 |
| Street Address |
1919 N MAIZE RD STE 200 |
| City | WICHITA |
| State | KS |
| Zip Code | 67212-5203 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891396974 | Kim Deann Kercher | Physical Therapist | Legacy At Grassland Estates, 10665 W 13th St N Apt 329, Wichita, KS 67212 | 2020-11-04 |
| 1700370954 | Andrea Lou Wheeler | Registered Nurse | 658 N Fairway Ave, Wichita, KS 67212 | 2018-06-20 |
| 1568981231 | Wichita Family Dental LLC | Dentist | 1445 N. Ridge Rd, Wichtia, KS 67212 | 2017-09-14 |
| 1396260121 | Keegan Hemberger | Pharmacist | 555 N. Maize Road, Wichita, KS 67212 | 2017-08-14 |
| 1154877603 | Alicia Rose Landrum | Counselor | 515 N Ridge Rd Ste 105, Wichita, KS 67212 | 2016-08-25 |
| 1306218920 | Brandee Young | Occupational Therapist | 9710 W. Jamesburg, Wichita, KS 67212 | 2015-10-22 |
| 1588072201 | Michelle Kuhn | Pharmacist | 10515 W Central, Wichita, KS 67212 | 2014-07-25 |
| 1972914083 | Linda Mueller Mueller | Marriage & Family Therapist | 4425 West Zoo Blvd, Wichita, KS 67212 | 2014-05-12 |
| 1619392305 | Jessica Smith | Counselor | 1319 W May, Wichita, KS 67212 | 2014-03-04 |
| 1245652064 | Keepsake Kottage, LLC | Custodial Care Facility | 8801 W Bekemeyer, Wichita, KS 67212 | 2014-01-14 |
| Find all providers in zip 67212 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639449259 | John R Provenzano Dds,pa | Dentist | 1515 S Clifton Ave Ste 120, Wichita, KS 67218-2951 | 2012-01-12 |
| 1013220813 | Kenneth W. Nelson, Dds, Pa | Dentist | 1919 N. Webb Rd, Wichita, KS 67206-3405 | 2010-07-21 |
| 1427079979 | Roy E Cole | Dentist | 1919 N Webb Rd, Wichita, KS 67206-3405 | 2006-07-21 |
| 1619911641 | John D Gagnon | Dentist | 3510 N Ridge Rd, Ste 500, Wichita, KS 67205-1224 | 2006-06-16 |
| 1619461027 | Joseph R Tingey, Dds, Pa | Dentist | 3510 N Ridge Rd Ste 500, Wichita, KS 67205-1226 | 2018-06-19 |
| 1215346713 | Jonas A. Lichty Dds Md Pa | Dentist | 1919 N Webb Rd, Wichita, KS 67206-3405 | 2014-08-08 |
| 1275892671 | Matthew E Robertson Dmd LLC | Dentist | 3510 N Ridge Rd, Ste 500, Wichita, KS 67205-1224 | 2012-05-07 |
| 1942566476 | Joseph Ricks Tingey | Dentist | 3510 N Ridge Rd, Suite 500, Wichita, KS 67205-1224 | 2012-04-10 |
| 1679894356 | Roy E Cole Dds Md Pa | Dentist | 1919 N Webb Rd, Wichita, KS 67206-3405 | 2010-06-17 |
| 1497912356 | Remy H Blanchaert Jr Dds Md Pa | Dentist | 1919 N Webb Rd, Wichita, KS 67206-3405 | 2008-05-19 |
| 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.