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DR. JACOB JUDD DDS
NPI 1295416139
Dentist - Endodontics in Wichita, KS

Active since July 25, 2023
7721 W 21ST ST N, WICHITA, KS 67205(316) 681-1099(316) 613-2417 Get Directions Write a Review

NPPES record last updated: July 16, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 16, 2024, Jul 25, 2023 (2 updates tracked since 2023).

About Dr. Jacob Judd Dds NPPES

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

DR. JACOB JUDD DDS (NPI 1295416139) is an individual endodontics provider in Wichita, Kansas, licensed in Kansas (929) and active in the NPI registry since July 2023. He maintains a secondary practice location in Wichita.

NPPES Registry Identity

NPI1295416139
Entity TypeIndividualMale
Primary Taxonomy1223E0200X
Provider Legal NameDR. JACOB JUDDCredential: DDS
Location Address7721 W 21ST ST NWichita, KS 67205-1737
Mailing Address652 W 163rd St Apt 28New York, NY 10032-4515
Phone(316) 681-1099
Fax(316) 613-2417
Sole ProprietorNo
Enumeration DateJuly 25, 2023
Last NPPES UpdateJuly 16, 20242 updates tracked since enumeration
NPPES CertifiedJuly 16, 2024
✔ NPI 1295416139 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · EndodonticsDental Providers
Taxonomy Code1223E0200X
License✔ Licensed in KS · 929
Definition
The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.
Also ListedDentistTaxonomy 122300000X · License 62079 (KS), 22DI02950800 (NJ)
7721 W 21ST ST N, Wichita, KS 67205
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Secondary Practice Location 1

Location 112219 E Central AveWichita, KS 67206-2808 · Phone (316) 681-1099 · Fax (316) 613-2417

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Kansas, Inc., Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

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 Jacob Judd's NPI number?

The NPI number for Jacob Judd is 1295416139. It was assigned to this individual provider in the NPPES registry on July 25, 2023.

Where is Jacob Judd located?

Jacob Judd practices at 7721 W 21st St N, Wichita, KS 67205. The listed phone number is (316) 681-1099.

What is Jacob Judd's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Endodontics, with taxonomy code 1223E0200X.

What insurance does Jacob Judd accept?

Health plans from Blue Cross and Blue Shield of Kansas, Inc., Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Jacob Judd as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jacob Judd was last updated on July 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.