John R Provenzano Dds,pa
NPI 1639449259 · Oral and Maxillofacial Surgery (Dentist) · Wichita, KS
John R Provenzano Dds,pa is a Oral and Maxillofacial Surgery (Dentist) organization in Wichita, KS (NPI 1639449259).
Provider details
- NPI number
- 1639449259
- Entity type
- Organization
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Organization subpart
- No
- Authorized official
- John Provenzano, Owner(316) 681-3757
- License
- 6557 (KS)
Specialties & taxonomies
Dental Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 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
Mailing address
Registry dates
- Enumerated
- 2012-01-12
- Last updated
- 2012-02-09
Frequently asked questions
- What is John R Provenzano Dds,pa's NPI number?
- John R Provenzano Dds,pa's National Provider Identifier (NPI) is 1639449259, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is John R Provenzano Dds,pa?
- John R Provenzano Dds,pa is classified in the NPPES registry as Oral and Maxillofacial Surgery (Dentist) (Dental Providers).
- Where is John R Provenzano Dds,pa located?
- John R Provenzano Dds,pa's practice location on file with NPPES is 1515 S Clifton Ave Ste 120, Wichita, KS 67218-2951.
- What is John R Provenzano Dds,pa's phone number?
- The practice phone number listed in the NPPES registry for John R Provenzano Dds,pa is (316) 681-3757.
- Who is the authorized official for John R Provenzano Dds,pa?
- The authorized official listed on John R Provenzano Dds,pa's NPPES record is John Provenzano, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is John R Provenzano Dds,pa's NPI active?
- Yes — John R Provenzano Dds,pa's NPI (1639449259) is active in the NPPES registry as of the last update on 2012-02-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.