Age Reversal Technologies
NPI 1841594892 · Family Medicine Physician · Wichita, KS
Age Reversal Technologies is a Family Medicine Physician organization in Wichita, KS (NPI 1841594892).
Provider details
- NPI number
- 1841594892
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Michael Shaw, Owner/President(316) 640-6253
- License
- 15-00115 (KS)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 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
- 2011-01-05
- Last updated
- 2011-09-30
Frequently asked questions
- What is Age Reversal Technologies's NPI number?
- Age Reversal Technologies's National Provider Identifier (NPI) is 1841594892, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Age Reversal Technologies?
- Age Reversal Technologies is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Age Reversal Technologies located?
- Age Reversal Technologies's practice location on file with NPPES is 2600 N Woodlawn Blvd, Wichita, KS 67220-2729.
- What is Age Reversal Technologies's phone number?
- The practice phone number listed in the NPPES registry for Age Reversal Technologies is (316) 640-6253.
- Who is the authorized official for Age Reversal Technologies?
- The authorized official listed on Age Reversal Technologies's NPPES record is Michael Shaw, Owner/President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Age Reversal Technologies's NPI active?
- Yes — Age Reversal Technologies's NPI (1841594892) is active in the NPPES registry as of the last update on 2011-09-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.