WICHITA STATE UNIVERSITY (NPI# 1336427582) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336427582 |
| Entity Type | Organization |
| Organization Name | WICHITA STATE UNIVERSITY |
| Other Organization Name | ADVANCED EDUCATION IN GENERAL DENTISTRY |
| Practice Address |
2838 N. Oliver Wichita KS 67220-0157 |
| Mailing Address |
1845 Fairmount St Box 157 Wichita KS 67260-0043 |
| Practice Telephone | 3169785662 |
| Practice Fax Number | 3169783025 |
| Mailing Telephone | 3169785662 |
| Mailing Fax Number | 3169783025 |
| Enumeration Date | 2011-07-21 |
| Last Update Date | 2011-07-21 |
| Authorized Official Name | MRS. JO DENISE CLEPPER (PRACTICE ADMINISTRATOR) |
| Authorized Official Telephone | 3169785662 |
| Authorized Official Credential | RN |
| Is Organization Subpart | Y |
| Parent Organization Name | WICHITA STATE UNIVERSITY |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
KS | Dental Providers |
| Other Name | Type Code |
|---|---|
| Advanced Education in General Dentistry | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003225947 | Wichita State University | Community/Behavioral Health | 1845 Fairmount Box 91, Wichita, KS 67260-0091 | 2014-08-05 |
| 1295821858 | Wichita State University | Audiologist-Hearing Aid Fitter | 5015 E 29th Stn, Door T, Wichita, KS 67220-2110 | 2006-10-04 |
| 1144495169 | Wichita State University | Dentist | 1845 Fairmount St, Wichita, KS 67260-9700 | 2008-04-30 |
| Street Address |
2838 N. OLIVER |
| City | WICHITA |
| State | KS |
| Zip Code | 67220-0157 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851909329 | Michael Jay Somma | Dentist | 2838 N. Oliver Ave, Wichita, KS 67220 | 2020-07-21 |
| 1033778915 | Sonja Nicole Holle | Speech-Language Pathologist | Wsu Speech Language Healing Clinic, 5015 E 29th St. N, Entrance T, Wichita, KS 67220 | 2019-06-13 |
| 1912562869 | Sindi Vishaj | Student in an Organized Health Care Education/Training Program | North Oliver Avenue, Wichita, KS 67220 | 2019-05-07 |
| 1972068252 | Cynthia Mccormick Richburg | Audiologist | 5015 E 29th St N Entrance T, Wsu Speech Language Hearing Clinic, Wichita, KS 67220 | 2019-01-31 |
| 1235666900 | Amanda A Ewertz | Nurse Practitioner | 3715 N. Oliver St., Wichita, KS 67220 | 2017-05-12 |
| 1255888319 | Morgan J Martin | Physician Assistant | 2610 N Woodlawn, Wichita, KS 67220 | 2016-09-07 |
| 1578811089 | Jason James | Student in an Organized Health Care Education/Training Program | 2838 N. Oliver Street, Wichita, KS 67220 | 2012-08-15 |
| 1437414430 | Daiquirie Crumrine | Speech-Language Pathologist | 5015 E. 29th Street North, 'entrance T', Wichita, KS 67220 | 2012-07-06 |
| 1790843449 | Lincare Inc. | Durable Medical Equipment & Medical Supplies | 3975 N Woodlawn Ct, Bel Aire, KS 67220 | 2006-12-05 |
| 1568402352 | Dillon Companies LLC | Pharmacy | 3707 N Woodlawn Blvd, Wichita, KS 67220 | 2006-06-08 |
| Find all providers in zip 67220 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417435330 | Joseph P Houlik, Dds, LLC | Dentist | 2759 N Tyler Rd, Wichita, KS 67205-8711 | 2018-08-02 |
| 1982199790 | Ashton N Pargman | Dentist | 8150 E Douglas Ave Ste 10, Wichita, KS 67206-2362 | 2018-06-25 |
| 1801330980 | Smile Connections Family Dental, L.L.C. | Dentist | 250 N Tyler Rd, Wichita, KS 67212-3753 | 2016-12-08 |
| 1295286474 | Davis & Dold Dental, LLC | Dentist | 7570 W 21st St N Ste 1050b, Wichita, KS 67205-1772 | 2016-10-21 |
| 1194173955 | Kati Irene Beam | Dentist | 2222 N Greenwich Rd Ste 400, Wichita, KS 67226-8252 | 2016-06-01 |
| 1942662580 | Eric S. Farmer, Dds, P.a. | Dentist | 7520 W Village Cir, Wichita, KS 67205-9362 | 2016-03-23 |
| 1528424702 | Parklane Dental Pa | Dentist | 980 S Oliver St, Wichita, KS 97218-3216 | 2016-01-04 |
| 1053659508 | Nguyen Dmd Pa | Dentist | 9415 E Harry St Ste 606, Wichita, KS 67207-5082 | 2013-01-17 |
| 1083992655 | Kristyn Leanne Barker | Dentist | 2046 N Oliver Ave, Wichita, KS 67208-2503 | 2011-07-29 |
| 1952564031 | Aaron Leatherman | Dentist | 8015 Peach Tree Ln, Wichita, KS 67207-1139 | 2008-07-08 |
| 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.