OrganizationActive
Twin Lakes Dental PA
NPI 1003027749 · General Practice Dentistry · Wichita, KS
Twin Lakes Dental PA is a General Practice Dentistry organization in Wichita, KS (NPI 1003027749).
Provider details
- NPI number
- 1003027749
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Shaun Urbanozo, Credentialing Manager(719) 323-2362
- License
- 60387 (KS)
Specialties & taxonomies
Dental Providers
Dental Providers
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1901 W 21st St
Wichita, KS 67203-2106
Phone: (316) 832-2838
Fax: (316) 832-9530
Street-level locationGet directions
Mailing address
2221 E Bijou St Ste 100
Colorado Springs, CO 80909-8009
Other names (DBA / former)
- Doing business as
- Adventure Dental and Vision
Registry dates
- Enumerated
- 2007-05-24
- Last updated
- 2025-09-09
- Certified
- 2025-09-09
Frequently asked questions
- What is Twin Lakes Dental PA's NPI number?
- Twin Lakes Dental PA's National Provider Identifier (NPI) is 1003027749, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Twin Lakes Dental PA?
- Twin Lakes Dental PA is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Twin Lakes Dental PA located?
- Twin Lakes Dental PA's practice location on file with NPPES is 1901 W 21st St, Wichita, KS 67203-2106.
- What is Twin Lakes Dental PA's phone number?
- The practice phone number listed in the NPPES registry for Twin Lakes Dental PA is (316) 832-2838.
- Who is the authorized official for Twin Lakes Dental PA?
- The authorized official listed on Twin Lakes Dental PA's NPPES record is Shaun Urbanozo, Credentialing Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Twin Lakes Dental PA's NPI active?
- Yes — Twin Lakes Dental PA's NPI (1003027749) is active in the NPPES registry as of the last update on 2025-09-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.