Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Age Reversal Technologies

Q: What type of organization is Age Reversal Technologies?

Age Reversal Technologies is registered in NPPES as a Family Medicine Physician (its primary provider taxonomy).

Family Medicine Physician in Wichita, KS · enumerated 2011 · authorized official Michael Shaw, Owner/President.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1841594892

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Registry record

Entity type Organization (Type 2)

Legal business name Age Reversal Technologies

Practice address 2600 N Woodlawn Blvd, Wichita, KS, 67220

Phone (316) 640-6253

Fax (316) 858-2523

Enumeration date Jan 5, 2011

Last updated in NPPES Sep 30, 2011

Taxonomy & classification

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians · License 15-00115 (KS) Primary

207R00000X Internal Medicine Physician Allopathic & Osteopathic Physicians · License 15-00115 (KS) Secondary

Authorized official

Name Michael Shaw

Title Owner/President

Phone (316) 640-6253

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What is a Type 2 NPI?

A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

What type of organization is Age Reversal Technologies?

Age Reversal Technologies is registered in NPPES as a Family Medicine Physician (its primary provider taxonomy).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2011-09-30.