TIERRA LAKES MEDICAL GROUP LLC NPI 1639628829

NPI Information

  • NPI: 1639628829
  • Provider Name: TIERRA LAKES MEDICAL GROUP, LLC
  • Classification: Specialist - 174400000X
  • Entity Type: Organization
  • Address: 4969 N TIERRA LAKES PKWY
    BEL AIRE, KS
    ZIP 67226
  • Phone: (316) 440-4820

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NPI Details

TIERRA LAKES MEDICAL GROUP, LLC is a specialist in Bel Aire, KS. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. TIERRA LAKES MEDICAL GROUP, LLC NPI is 1639628829. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4969 N TIERRA LAKES PKWY
BEL AIRE, KS
ZIP 67226-345
Phone: (316) 440-4820
Fax: (316) 440-4851

The provider's authorized official is Jannifer Terry .
The authorized official title is Owner and has the following contact phone number (316) 440-4820.

The enumeration date for this NPI number is 9/28/2016 and was last updated on 9/28/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialistYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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