MOELLER DERMATOLOGY
NPI 1417955717
Specialist in Wichita, KS

Q: What is Moeller Dermatology's NPI number?

The NPI number for Moeller Dermatology is 1417955717. It was assigned to this organization in the NPPES registry on July 11, 2005.

Q: What is Moeller Dermatology's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Active since July 11, 2005

1911 N WEBB RD, WICHITA, KS 67206(316) 682-7546(316) 682-7554 Get Directions Write a Review

NPPES record last updated: June 23, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Moeller Dermatology NPPES

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

MOELLER DERMATOLOGY (NPI 1417955717) is a healthcare organization registered as a specialist in Wichita, Kansas and active in the NPI registry since July 2005. The organization lists Sarah Bird, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1417955717

Entity TypeOrganization

Primary Taxonomy174400000X

Legal Business NameMOELLER DERMATOLOGY

Location Address1911 N WEBB RDWichita, KS 67206-3405

Mailing Address1911 N Webb RdWichita, KS 67206-3405 · (316) 682-7546 · Fax (316) 682-7554

Phone(316) 682-7546

Fax(316) 682-7554

Organization SubpartNo

Authorized OfficialSarah BirdOffice Manager · (316) 682-7546

Enumeration DateJuly 11, 2005

Last NPPES UpdateJune 23, 2015

✔ NPI 1417955717 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in KS · 04-21795

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

1911 N WEBB RD, Wichita, KS 67206

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Other Identifiers 8

Medicaid100397800CKS

Medicaid200252100CKS

Medicare ID-Type Unspecified101081KS · Dr. Christopher Moeller

Medicaid100205810BKS

Medicaid100396180AKS

Medicare ID-Type Unspecified042786KS · Karen Bohaty, Pa

Medicaid100407240AKS

Medicare ID-Type Unspecified110674KS · Group Medicare Number

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 9

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

MRS. CHRISTINE M. CURL PA-C

Physician Assistant