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WICHITA ORAL SURGERY LLC
NPI 1164914982
Clinic/Center - Oral and Maxillofacial Surgery in Wichita, KS

Active since June 06, 2018
12611 E 21ST ST N, WICHITA, KS 67206(316) 742-1506(316) 742-1507 Get Directions Write a Review

NPPES record last updated: June 6, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Wichita Oral Surgery Llc NPPES

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

WICHITA ORAL SURGERY LLC (NPI 1164914982) is a healthcare organization registered as an oral and maxillofacial surgery in Wichita, Kansas and active in the NPI registry since June 2018. The organization lists Angelika Roe, Credentialing, as its authorized official.

NPPES Registry Identity

NPI1164914982
Entity TypeOrganization
Primary Taxonomy261QS0112X
Legal Business NameWICHITA ORAL SURGERY LLC
Location Address12611 E 21ST ST NWichita, KS 67206-3594
Mailing Address12611 E 21st St NWichita, KS 67206-3594 · (316) 742-1506 · Fax (316) 742-1507
Phone(316) 742-1506
Fax(316) 742-1507
Organization SubpartNo
Authorized OfficialAngelika RoeCredentialing · (888) 247-1869
Enumeration DateJune 6, 2018
✔ NPI 1164914982 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Oral and Maxillofacial SurgeryAmbulatory Health Care Facilities
Taxonomy Code261QS0112X
Definition
An oral and maxillofacial surgery clinic or center specialized in 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.
12611 E 21ST ST N, Wichita, KS 67206
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Kansas, Inc..Insurance ›

Other Providers at the Same Location NPPES

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

DR. MATTHEW ERIC ROBERTSON DMD
Dentist (Oral and Maxillofacial Surgery)
12611 E 21ST ST N
WICHITA, KS 67206
Sedgwick County (316) 742-1506

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 Wichita Oral Surgery LLC's NPI number?

The NPI number for Wichita Oral Surgery LLC is 1164914982. It was assigned to this organization in the NPPES registry on June 6, 2018.

Where is Wichita Oral Surgery LLC located?

Wichita Oral Surgery LLC is located at 12611 E 21st St N, Wichita, KS 67206. The listed phone number is (316) 742-1506.

What is Wichita Oral Surgery LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Oral and Maxillofacial Surgery, with taxonomy code 261QS0112X.

What insurance does Wichita Oral Surgery LLC accept?

Health plans from Blue Cross and Blue Shield of Kansas, Inc. list Wichita Oral Surgery LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Wichita Oral Surgery LLC was last updated on June 6, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.