JERAD DIVINE, D.D.S.
Endodontics · WICHITA, KS
Individual Active Opted out of Medicare NPI 1841587250
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Endodontics | 1223E0200X | ✓ | 61283 | KS |
| General Practice Dentistry | 1223G0001X | 2011014424 | MO |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- No
- Hospice
- Yes
Opted out of Medicare (Dentist), effective 2018-09-11 through 2026-09-11.
Other Endodontics providers in Kansas
- NPI 1003894684
- NPI 1013203728
- NPI 1578902359
- NPI 1972697019
- NPI 1487871208
- NPI 1598982225
- NPI 1417476847
- NPI 1295416139
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.