OrganizationActive
Wichita Family Dental South LLC
NPI 1194365817 · Dental Clinic/Center · Derby, KS
Wichita Family Dental South LLC is a Dental Clinic/Center organization in Derby, KS (NPI 1194365817).
Provider details
- NPI number
- 1194365817
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Stephanie Brandes, Clinical Director(316) 630-9339
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(65/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 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
1120 N Rock Rd Ste 100
Derby, KS 67037-3587
Phone: (316) 630-9339
Street-level locationGet directions
Mailing address
9339 E 21st St N
Wichita, KS 67206-2971
Other names (DBA / former)
- Other name
- Derby Dental Care
- Other name
- Wichita Family Dental South
Registry dates
- Enumerated
- 2020-01-10
- Last updated
- 2020-01-10
- Certified
- 2020-01-10
Frequently asked questions
- What is Wichita Family Dental South LLC's NPI number?
- Wichita Family Dental South LLC's National Provider Identifier (NPI) is 1194365817, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Wichita Family Dental South LLC?
- Wichita Family Dental South LLC is classified in the NPPES registry as Dental Clinic/Center (Ambulatory Health Care Facilities).
- Where is Wichita Family Dental South LLC located?
- Wichita Family Dental South LLC's practice location on file with NPPES is 1120 N Rock Rd Ste 100, Derby, KS 67037-3587.
- What is Wichita Family Dental South LLC's phone number?
- The practice phone number listed in the NPPES registry for Wichita Family Dental South LLC is (316) 630-9339.
- Who is the authorized official for Wichita Family Dental South LLC?
- The authorized official listed on Wichita Family Dental South LLC's NPPES record is Stephanie Brandes, Clinical Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Wichita Family Dental South LLC's NPI active?
- Yes — Wichita Family Dental South LLC's NPI (1194365817) is active in the NPPES registry as of the last update on 2020-01-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.