ILLUMINATE FAMILY DENTISTRY, LLC
NPI 1316691736
Dentist - General Practice in Derby, KS

Q: What is Illuminate Family Dentistry, LLC's NPI number?

The NPI number for Illuminate Family Dentistry, LLC is 1316691736. It was assigned to this organization in the NPPES registry on February 4, 2022.

Q: What is Illuminate Family Dentistry, LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Active since February 04, 2022

250 W RED POWELL DR STE 500, DERBY, KS 67037(316) 847-7730 Get Directions Write a Review

NPPES record last updated: February 4, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Illuminate Family Dentistry, Llc NPPES

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

ILLUMINATE FAMILY DENTISTRY, LLC (NPI 1316691736) is a healthcare organization registered as a general practice in Derby, Kansas and active in the NPI registry since February 2022. The organization lists Rachel Hayes Clark, Owner Dentist, as its authorized official.

NPPES Registry Identity

NPI1316691736

Entity TypeOrganization

Primary Taxonomy1223G0001X

Legal Business NameILLUMINATE FAMILY DENTISTRY, LLC

Location Address250 W RED POWELL DR STE 500Derby, KS 67037-2626

Mailing Address2113 N Woodard StDerby, KS 67037-2364

Phone(316) 847-7730

Organization SubpartNo

Authorized OfficialRachel Hayes ClarkOwner Dentist · (316) 847-7730

Enumeration DateFebruary 4, 2022

NPPES CertifiedFebruary 4, 2022

✔ NPI 1316691736 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

250 W RED POWELL DR STE 500, Derby, KS 67037

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter Health 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 Illuminate Family Dentistry, LLC's NPI number?

The NPI number for Illuminate Family Dentistry, LLC is 1316691736. It was assigned to this organization in the NPPES registry on February 4, 2022.

Where is Illuminate Family Dentistry, LLC located?

Illuminate Family Dentistry, LLC is located at 250 W Red Powell Dr Ste 500, Derby, KS 67037. The listed phone number is (316) 847-7730.

What is Illuminate Family Dentistry, LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Illuminate Family Dentistry, LLC accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 2 other insurers list Illuminate Family Dentistry, LLC 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 Illuminate Family Dentistry, LLC was last updated on February 4, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.