Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Tierra Lakes Medical Group, LLC

Organization Specialist · NPI 1639628829

Tierra Lakes Medical Group, LLC is a Specialist in Bel Aire, Kansas. Registered with an NPI since 2016.

In the registry since
2016
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4969 N Tierra Lakes Pkwy
Bel Aire, KS 67226-3345
Phone: (316) 440-4820
Fax: (316) 440-4851
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X

Record details

NPI number1639628829
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jannifer Terry — Owner · (316) 440-4820
NPI enumeratedSeptember 28, 2016
Last updated in NPPESSeptember 28, 2016
Mailing address4969 N Tierra Lakes Pkwy, Bel Aire, KS 67226-3345