KENNETH D. DYKSTRA MD – NPI #1710916341
Pediatrics
A pediatrician who provides expert care to infants, children and adolescents who have diseases that result from an abnormality in the endocrine glands (glands which secrete hormones). These diseases include diabetes mellitus, growth failure, unusual size for age, early or late pubertal development, birth defects, the genital region and disorders of the thyroid, the adrenal and pituitary glands.
KENNETH DYKSTRA is a physician located in WICHITA, KS. NPPES has assigned the NPI number 1710916341 to KENNETH DYKSTRA on July 03, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 2080P0205X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics, specializing in Pediatric Endocrinology
The NPI profile was previously updated about 14 years ago on Feb 03, 2012. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for KENNETH DYKSTRA below.
NPI Profile for
KENNETH D. DYKSTRA
(about 20 years ago)
SUITE #500
WICHITA, KS 67208-3052 Phone: (316) 962-2080 Fax: (316) 962-2079
Identifiers for KENNETH DYKSTRA
Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.
See identifiers
| Description | Issuer | State | Identifier |
|---|---|---|---|
| OTHER | BCBS | KS | 055541 |
| OTHER | COVENTRY | KS | 16997 |
| OTHER | HPK | KS | 200626 |
| OTHER | MULTIPLAN | KS | 12149357 |
| OTHER | PHS | KS | 11872 |
| MEDICAID | KS | 100333960A |
A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.
| Taxonomy Classification / Specialization | State | License |
|---|---|---|
| 2080P0205X - Pediatrics / Pediatric Endocrinology (Primary) |
KS | 28093 |
The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.