KEVIN T. PETRIE D.D.S.
NPI 1144325671
Dentist - General Practice in Wichita, KS

Active since September 13, 2006
3455 W 13TH ST N, WICHITA, KS 67203(316) 945-0543 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kevin T. Petrie D.d.s. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KEVIN T. PETRIE D.D.S. (NPI 1144325671) is an individual general practice provider in Wichita, Kansas, licensed in Kansas (5763) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1144325671
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameKEVIN T. PETRIECredential: D.D.S.
Location Address3455 W 13TH ST NWichita, KS 67203-4500
Mailing Address12126 W Huntersview StWichita, KS 67235-1220 · (316) 721-6989
Sole ProprietorYes
Enumeration DateSeptember 13, 2006
Last NPPES UpdateJuly 9, 2007
NPI 1144325671 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in KS · 5763
Definition
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.
3455 W 13TH ST N, Wichita, KS 67203

Other Identifiers 2

Medicaid10022250AKS
Other7849KS · Bcbs Id

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (General Practice)
3455 W 13TH ST N
WICHITA, KS 67203
Dentist (General Practice)
3455 W 13TH ST N
WICHITA, KS 67203
Dentist (General Practice)
3455 W 13TH ST N
WICHITA, KS 67203
Dentist (General Practice)
3455 W 13TH ST N
WICHITA, KS 67203

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kevin Petrie's NPI number?

The NPI number for Kevin Petrie is 1144325671. It was assigned to this individual provider in the NPPES registry on September 13, 2006.

Where is Kevin Petrie located?

Kevin Petrie practices at 3455 W 13th St N, Wichita, KS 67203. The listed phone number is (316) 945-0543.

What is Kevin Petrie's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Kevin Petrie was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.