Organization
BLUE SKIES DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRAVIS RAY WYMER DDS (OWNER)
(785) 392-0770
Entity
Organization
Contact information
Practice address
4201 ANDERSON AVE, STE A, MANHATTAN, KS 66503-7601
(785) 537-4337
Mailing address
3863 HAYOVEL PL, MANHATTAN, KS 66503-8529
(785) 392-0770
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BC3200X
Customized Equipment (DME)
—
—
Other
Enumeration date
12/02/2022
Last updated
04/27/2023
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up