KANZA DENTAL CLINIC
NPI 1023475118
Clinic/Center - Dental in Newkirk, OK

Active since January 21, 2016CLIA 37D0719307 · Waiver
3151 E. RIVER RD, NEWKIRK, OK 74647(580) 362-1944(580) 362-2988 Get Directions Write a Review

NPPES record last updated: January 21, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kanza Dental Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KANZA DENTAL CLINIC (NPI 1023475118) is a healthcare organization registered as a dental in Newkirk, Oklahoma and active in the NPI registry since January 2016. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Elaine Huch, Kaw Nation Chair, as its authorized official.

NPPES Registry Identity

NPI1023475118
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameKAW NATION
Location Address3151 E. RIVER RDNewkirk, OK 74647
Mailing Address3151 E. River RdNewkirk, OK 74647 · (580) 362-1944 · Fax (580) 362-2988
Fax(580) 362-2988
Organization SubpartYesParent: Kaw Nation Dba Kanza Dental Clinic
Authorized OfficialElaine HuchKaw Nation Chair · (580) 269-2552
Enumeration DateJanuary 21, 2016
NPI 1023475118 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
3151 E. RIVER RD, Newkirk, OK 74647

Other Names 1

Doing Business AsKanza Dental Clinic

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 37D0719307

Kanza Health Clinic · Newkirk, OK
Active · expires Aug 31, 2026
CLIA Number37D0719307
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorJerry Pritchett
Laboratory Phone(580) 362-1039
Laboratory LocationKanza Health Clinic3151 E River Road, Newkirk, OK 74647
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kaw Nation's NPI number?

The NPI number for Kaw Nation is 1023475118. It was assigned to this organization in the NPPES registry on January 21, 2016. The provider is doing business as Kanza Dental Clinic.

Where is Kaw Nation located?

Kaw Nation is located at 3151 E. River Rd, Newkirk, OK 74647. The listed phone number is (580) 362-1944.

What is Kaw Nation's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

Does Kaw Nation hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 37D0719307) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Kaw Nation was last updated on January 21, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.