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TIERRA LAKES MEDICAL GROUP, LLC
NPI 1639628829
Specialist in Bel Aire, KS

Active since September 28, 2016
4969 N TIERRA LAKES PKWY, BEL AIRE, KS 67226(316) 440-4820(316) 440-4851 Get Directions Write a Review

NPPES record last updated: September 28, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Tierra Lakes Medical Group, Llc NPPES

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

TIERRA LAKES MEDICAL GROUP, LLC (NPI 1639628829) is a healthcare organization registered as a specialist in Bel Aire, Kansas and active in the NPI registry since September 2016. The organization lists Jannifer Terry, Owner, as its authorized official.

NPPES Registry Identity

NPI1639628829
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameTIERRA LAKES MEDICAL GROUP, LLC
Location Address4969 N TIERRA LAKES PKWYBel Aire, KS 67226-3345
Mailing Address4969 N Tierra Lakes PkwyBel Aire, KS 67226-3345 · (316) 440-4820 · Fax (316) 440-4851
Phone(316) 440-4820
Fax(316) 440-4851
Organization SubpartNo
Authorized OfficialJannifer TerryOwner · (316) 440-4820
Enumeration DateSeptember 28, 2016
✔ NPI 1639628829 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
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.
4969 N TIERRA LAKES PKWY, Bel Aire, KS 67226
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

SUMMIT BHC WICHITA, LLC
Substance Abuse Rehabilitation Facility
4969 N TIERRA LAKES PKWY
BEL AIRE, KS 67226
Sedgwick County (877) 463-3553

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 Tierra Lakes Medical Group, LLC's NPI number?

The NPI number for Tierra Lakes Medical Group, LLC is 1639628829. It was assigned to this organization in the NPPES registry on September 28, 2016.

Where is Tierra Lakes Medical Group, LLC located?

Tierra Lakes Medical Group, LLC is located at 4969 N Tierra Lakes Pkwy, Bel Aire, KS 67226. The listed phone number is (316) 440-4820.

What is Tierra Lakes Medical Group, LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Tierra Lakes Medical Group, LLC was last updated on September 28, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.