Doctor profile · Federal record
Dr. Jerad Divine, D.D.S.
Endodontist · General Practice Dentistry · Wichita, KS
- NPI 1841587250
- 15 yrs on file
- Licensed in 2 states
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
12219 E Central Ave
Wichita, KS 672062808
(316) 681-1099
fax (316) 613-2417
Credentials & registration
- NPI registered
- July 2011 — 15 yrs on file
- Profile last updated
- December 12, 2022
- Specialty taxonomy
- 1223E0200X — NUCC code
- State licenses (2)
- Kansas #61283 · Missouri #2011014424
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1841587250. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$32
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Peter Brasseler Holdings, LLC | 1 | $32.31 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
527
Patients
512
Total drug cost
$2,666
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Hydrocodone-Acetaminophen (Hydrocodone/Acetaminophen) | Brand | 209 | 201 | $1,177 |
| Amoxicillin | Generic | 151 | 149 | $383 |
| Azithromycin | Generic | 48 | 47 | $214 |
| Amoxicillin-Clavulanate Potass (Amoxicillin/Potassium Clav) | Brand | 32 | 32 | $356 |
| Tramadol Hcl | Generic | 28 | 26 | $58 |
| Methylprednisolone | Generic | 23 | 23 | $240 |
| Chlorhexidine Gluconate | Generic | 19 | 19 | $90 |
| Clindamycin Hcl | Generic | 17 | 15 | $150 |
Frequently asked questions
What is Dr. Jerad Divine's medical specialty?
Dr. Jerad Divine practices Endodontist in Wichita, KS.
Where does Dr. Jerad Divine practice?
Dr. Jerad Divine practices at 12219 E Central Ave, Wichita, KS 672062808. Office phone: 3166811099.
What is Dr. Jerad Divine's NPI?
Dr. Jerad Divine's National Provider Identifier (NPI) is 1841587250, issued by NPPES.