CAMBRIDGE FAMILY DENTISTRY, P.A. (NPI# 1376005124) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376005124 |
| Entity Type | Organization |
| Organization Name | CAMBRIDGE FAMILY DENTISTRY, P.A. |
| Practice Address |
2020 N Webb Rd Ste 301 Wichita KS 67206-3410 |
| Practice Telephone | 3166872110 |
| Practice Fax Number | 3166369539 |
| Mailing Telephone | 3166872110 |
| Mailing Fax Number | 3166369539 |
| Enumeration Date | 2019-04-02 |
| Last Update Date | 2019-04-02 |
| Authorized Official Name | BRANDY M GRIMM (OFFICE MANAGER) |
| Authorized Official Telephone | 3166872110 |
| 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 |
2020 N WEBB RD STE 301 |
| City | WICHITA |
| State | KS |
| Zip Code | 67206-3410 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962563320 | Christopher W Polk | Dentist | 2020 N Webb Rd Ste 301, Wichita, KS 67206-3410 | 2006-12-12 |
| 1235650003 | Grant Laham | Dentist | 2020 N Webb Rd Ste 301, Wichita, KS 67206-3410 | 2017-07-03 |
| 1962763193 | Kelly Ann Johnson | Dentist | 2020 N Webb Rd Ste 301, Wichita, KS 67206-3410 | 2012-06-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760020846 | Founders Surgery Center, LLC | Clinic/Center | 1961 N Founders Circle, Wichita, KS 67206 | 2019-12-19 |
| 1174006613 | Courtney Dawn Simon | Physical Therapist | 9360 E Central Ave Ste 100, Wichita, KS 67206 | 2018-09-11 |
| 1902308919 | Center At Waterfront LLC | Skilled Nursing Facility | 1541 North Lindberg Circle, Wichita, KS 67206 | 2018-03-06 |
| 1750804597 | Katelyn Aguiar | Psychologist | 250 N Rock Rd Ste 210, Wichita, KS 67206 | 2017-07-24 |
| 1457888778 | Mona Kay Cherryholmes | Social Worker | 1223 N. Rock Rd, Bldg A. Suite 100, Wichita, KS 67206 | 2017-05-17 |
| 1164899415 | Elizabeth Herl | Marriage & Family Therapist | 250 N Rock Rd Ste 150, Wichita, KS 67206 | 2015-08-21 |
| 1851715510 | Ndjj Corp | Custodial Care Facility | 6403 E Marjore, Wichita, KS 67206 | 2014-02-14 |
| 1801238217 | Courtney Ann Lang | Physical Therapist | 1603 North Chapel Hill Street, Suite 400, Wichita, KS 67206 | 2013-07-26 |
| 1194063032 | Peak Performance Health Pa | Chiropractor | 10111 E 21st St, #106, Wichita, KS 67206 | 2013-01-28 |
| 1750629002 | Rachel Marie Conrad | Speech-Language Pathologist | 1861 N. Rock Rd, Ste 101, Wichita, KS 67206 | 2013-01-22 |
| Find all providers in zip 67206 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225653959 | Moxley Family Dental, LLC | Clinic/Center | 15455 E 13th St N, Wichita, KS 67230-7572 | 2020-06-09 |
| 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 |
| 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.