Doctor profile · Federal record
Dr. John Provenzano, DDS
Oral and Maxillofacial Surgery (Dentist) · Wichita, KS
- NPI 1710955430
- 20 yrs on file
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
1515 S Clifton Ave, Suite 120
Wichita, KS 672182900
(316) 681-3757
fax (316) 652-0602
Credentials & registration
- NPI registered
- March 2006 — 20 yrs on file
- Profile last updated
- October 11, 2011
- Specialty taxonomy
- 1223S0112X — NUCC code
- State license (1)
- Kansas #6557
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1710955430. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$61
Transactions
2
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Henry Schein, Inc. | 2 | $61.19 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
139
Patients
104
Total drug cost
$634
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Amoxicillin | Generic | 54 | 50 | $169 |
| Hydrocodone-Acetaminophen (Hydrocodone/Acetaminophen) | Brand | 35 | 32 | $132 |
| Cephalexin | Generic | 25 | 22 | $136 |
| Clindamycin Hcl | Generic | 13 | 0 | $138 |
| Oxycodone-Acetaminophen (Oxycodone Hcl/Acetaminophen) | Brand | 12 | 0 | $58 |
Frequently asked questions
What is Dr. John Provenzano's medical specialty?
Dr. John Provenzano practices Oral and Maxillofacial Surgery (Dentist) in Wichita, KS.
Where does Dr. John Provenzano practice?
Dr. John Provenzano practices at 1515 S Clifton Ave, Wichita, KS 672182900. Office phone: 3166813757.
What is Dr. John Provenzano's NPI?
Dr. John Provenzano's National Provider Identifier (NPI) is 1710955430, issued by NPPES.