KIDSPACE PEDIATRIC DENTISTRY PARTNERSHIP
NPI 1407561590
Dentist - Pediatric Dentistry in Wichita, KS

Active since January 23, 2023
430 N WOODLAWN ST, WICHITA, KS 67208(316) 684-2100 Get Directions Write a Review

NPPES record last updated: January 23, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kidspace Pediatric Dentistry Partnership NPPES

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

KIDSPACE PEDIATRIC DENTISTRY PARTNERSHIP (NPI 1407561590) is a healthcare organization registered as a pediatric dentistry in Wichita, Kansas and active in the NPI registry since January 2023. The organization lists Julie Le, Practice Administrator, as its authorized official.

NPPES Registry Identity

NPI1407561590
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameKIDSPACE PEDIATRIC DENTISTRY PARTNERSHIP
Location Address430 N WOODLAWN STWichita, KS 67208-4300
Mailing Address430 N Woodlawn StWichita, KS 67208-4300 · (316) 684-2100
Organization SubpartNo
Authorized OfficialJulie LePractice Administrator · (316) 684-2100
Enumeration DateJanuary 23, 2023
NPPES CertifiedJanuary 23, 2023
NPI 1407561590 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Also ListedDentist · General PracticeTaxonomy 1223G0001X
430 N WOODLAWN ST, Wichita, KS 67208

Other Names 1

Doing Business AsKidspace Pediatric Dentistry Partnership

Other Identifiers 3

Medicaid30004579430004KS
Medicaid30004593990002KS
Medicaid30004575080002KS

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (Pediatric Dentistry)
430 N WOODLAWN ST
WICHITA, KS 67208
Nurse Practitioner
430 N WOODLAWN ST, SUITE 2
WICHITA, KS 67208
Physical Therapist
430 N WOODLAWN ST, SUITE 2
WICHITA, KS 67208

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 Kidspace Pediatric Dentistry Partnership's NPI number?

The NPI number for Kidspace Pediatric Dentistry Partnership is 1407561590. It was assigned to this organization in the NPPES registry on January 23, 2023.

Where is Kidspace Pediatric Dentistry Partnership located?

Kidspace Pediatric Dentistry Partnership is located at 430 N Woodlawn St, Wichita, KS 67208. The listed phone number is (316) 684-2100.

What is Kidspace Pediatric Dentistry Partnership's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

What insurance does Kidspace Pediatric Dentistry Partnership accept?

Health plans from Blue Cross and Blue Shield of Kansas, Inc. list Kidspace Pediatric Dentistry Partnership 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 Kidspace Pediatric Dentistry Partnership was last updated on January 23, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.