Provider Demographics
NPI:1609820992
Name:SCHARENBERG, DENNIS RAY (DC P A)
Entity Type:Individual
Prefix:DR
First Name:DENNIS
Middle Name:RAY
Last Name:SCHARENBERG
Suffix:
Gender:M
Credentials:DC P A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:421 N WEBB RD
Mailing Address - Street 2:
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67206-2521
Mailing Address - Country:US
Mailing Address - Phone:316-945-0075
Mailing Address - Fax:316-945-0100
Practice Address - Street 1:421 N WEBB RD
Practice Address - Street 2:
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67206-2521
Practice Address - Country:US
Practice Address - Phone:316-945-0075
Practice Address - Fax:316-945-0100
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-20
Last Update Date:2016-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KSC3282111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
T43790Medicare UPIN
T43790Medicare UPIN