OrganizationActive
Tierra Lakes Medical Group, LLC
NPI 1639628829 · Specialist · Bel Aire, KS
Tierra Lakes Medical Group, LLC is a Specialist organization in Bel Aire, KS (NPI 1639628829).
Provider details
- NPI number
- 1639628829
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Organization subpart
- No
- Authorized official
- Jannifer Terry, Owner(316) 440-4820
Specialties & taxonomies
Other Service Providers
Profile Score
Established profile(72/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 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
4969 N Tierra Lakes Pkwy
Bel Aire, KS 67226-3345
Phone: (316) 440-4820
Fax: (316) 440-4851
Street-level locationGet directions
Mailing address
4969 N Tierra Lakes Pkwy
Bel Aire, KS 67226-3345
Registry dates
- Enumerated
- 2016-09-28
- Last updated
- 2016-09-28
Frequently asked questions
- What is Tierra Lakes Medical Group, LLC's NPI number?
- Tierra Lakes Medical Group, LLC's National Provider Identifier (NPI) is 1639628829, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Tierra Lakes Medical Group, LLC?
- Tierra Lakes Medical Group, LLC is classified in the NPPES registry as Specialist (Other Service Providers).
- Where is Tierra Lakes Medical Group, LLC located?
- Tierra Lakes Medical Group, LLC's practice location on file with NPPES is 4969 N Tierra Lakes Pkwy, Bel Aire, KS 67226-3345.
- What is Tierra Lakes Medical Group, LLC's phone number?
- The practice phone number listed in the NPPES registry for Tierra Lakes Medical Group, LLC is (316) 440-4820.
- Who is the authorized official for Tierra Lakes Medical Group, LLC?
- The authorized official listed on Tierra Lakes Medical Group, LLC's NPPES record is Jannifer Terry, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Tierra Lakes Medical Group, LLC's NPI active?
- Yes — Tierra Lakes Medical Group, LLC's NPI (1639628829) is active in the NPPES registry as of the last update on 2016-09-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.