WICHITA PEDIATRIC DENTISTRY
NPI 1467507400
Dentist - Pediatric Dentistry in Wichita, KS

Active since January 23, 2007
1230 N BROADMOOR AVE, #400, WICHITA, KS 67206(361) 630-0090(316) 630-0099 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Wichita Pediatric Dentistry NPPES

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

WICHITA PEDIATRIC DENTISTRY (NPI 1467507400) is a healthcare organization registered as a pediatric dentistry in Wichita, Kansas and active in the NPI registry since January 2007. The organization lists Michael Iseman, Doctor, as its authorized official.

NPPES Registry Identity

NPI1467507400
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameWICHITA PEDIATRIC DENTISTRY
Location Address1230 N BROADMOOR AVE, #400Wichita, KS 67206-3891
Mailing Address1230 N Broadmoor Ave, #400Wichita, KS 67206-3891 · (361) 630-0090 · Fax (316) 630-0099
Fax(316) 630-0099
Organization SubpartNo
Authorized OfficialMichael IsemanDoctor · (316) 630-0090
Enumeration DateJanuary 23, 2007
Last NPPES UpdateAugust 22, 2020
NPI 1467507400 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License Licensed in KS · 1223PO221X
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.
1230 N BROADMOOR AVE, Wichita, KS 67206

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

Other Providers at the Same Location NPPES 7

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

Dentist (General Practice)
1230 N BROADMOOR AVE, 100
WICHITA, KS 67206
Dentist (General Practice)
1230 N BROADMOOR AVE, STE # 300
WICHITA, KS 67206
Dentist
1230 N BROADMOOR AVE, SUITE 100
WICHITA, KS 67206
Dentist (Pediatric Dentistry)
1230 N BROADMOOR AVE, SUITE 400
WICHITA, KS 67206
Dentist
1230 N BROADMOOR AVE
WICHITA, KS 67206
Dentist (General Practice)
1230 N BROADMOOR AVE, STE 300
WICHITA, KS 67206
Dentist (General Practice)
1230 N BROADMOOR AVE, STE 300
WICHITA, KS 67206

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 Wichita Pediatric Dentistry's NPI number?

The NPI number for Wichita Pediatric Dentistry is 1467507400. It was assigned to this organization in the NPPES registry on January 23, 2007.

Where is Wichita Pediatric Dentistry located?

Wichita Pediatric Dentistry is located at 1230 N Broadmoor Ave #400, Wichita, KS 67206. The listed phone number is (361) 630-0090.

What is Wichita Pediatric Dentistry's specialty?

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

What insurance does Wichita Pediatric Dentistry accept?

Health plans from Blue Cross and Blue Shield of Kansas, Inc. list Wichita Pediatric Dentistry 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 Wichita Pediatric Dentistry was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.