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Provider Profile

Jerad C. Divine, D.D.S.

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At a glance

About Dr. Divine

Based in Wichita, KS, Jerad C. Divine, D.D.S. is listed in the NPI registry under endodontics. Jerad is also listed as specializing in general practice dentistry. NPI 1841587250 identifies this record in the national registry.

Factual summary compiled by Guide.md from public records; not written by this provider.

Specialty

Endodontics (Primary)

Credentials & Licensing

KS licenceAs reported to the NPI registry
No. 61283As reported
MO licenceAs reported to the NPI registry
No. 2011014424As reported
NPINational Provider Identifier
1841587250Issued 2011

As reported to the NPI registry ↗

Medicare information

Medicare opt-outEnded September 2024
Can order and refer in MedicareYes

Exactly as CMS reports it (National Downloadable File, Opt-Out Affidavits, Order & Referring). Not an insurance directory; confirm coverage with the office.

Common questions

What kind of doctor is Jerad C. Divine?

Jerad C. Divine is an endodontics in Wichita, KS. That is the designation recorded for this NPI in the federal registry.

NPI registry

What is Jerad C. Divine's address?

Jerad C. Divine is listed at 12219 E Central Ave, Wichita, KS 67206. Addresses come from the NPI registry and can lag a move, so confirm before travelling.

NPI registry

How can I make an appointment with Jerad C. Divine?

The number on file is (316) 681-1099. Contact the office directly to confirm availability and scheduling.

NPI registry

What is Jerad C. Divine's NPI number?

Jerad C. Divine's National Provider Identifier is 1841587250. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.

NPI registry

How long has Jerad C. Divine been practicing?

Jerad C. Divine has 15+ years experience. Registered with an NPI since 2011. National Provider Identifiers only began in 2005, so a provider who qualified earlier may have practiced for longer than this.

NPI registry

Has Jerad C. Divine confirmed this information?

Not yet. This profile is built from public federal data and has not been confirmed by Jerad C. Divine. If this is you, claiming it is free.

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