WITCHITA 21ST DENTAL, PA
NPI 1639799307
Dentist - General Practice in Wichita, KS

Active since April 22, 2020
10333 E 21ST ST N, WICHITA, KS 67206(316) 684-1470 Get Directions Write a Review

NPPES record last updated: May 29, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 29, 2020, Apr 22, 2020 (2 updates tracked since 2020).

About Witchita 21st Dental, Pa NPPES

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

WITCHITA 21ST DENTAL, PA (NPI 1639799307) is a healthcare organization registered as a general practice in Wichita, Kansas and active in the NPI registry since April 2020. The organization lists Creed L Cardon, Dds, as its authorized official.

NPPES Registry Identity

NPI1639799307
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameWITCHITA 21ST DENTAL, PA
Location Address10333 E 21ST ST NWichita, KS 67206-3543
Mailing Address400 Riverwalk Ter Ste 250Jenks, OK 74037-5619 · (918) 998-0996
Organization SubpartNo
Authorized OfficialCreed L CardonDds · (918) 998-0996
Enumeration DateApril 22, 2020
Last NPPES UpdateMay 29, 20202 updates tracked since enumeration
NPPES CertifiedMay 29, 2020
NPI 1639799307 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

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.
Also ListedClinic/Center · DentalTaxonomy 261QD0000X
10333 E 21ST ST N, Wichita, KS 67206

Accepted Insurance

Other Providers at the Same Location NPPES 13

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

Marriage & Family Therapist
10333 E 21ST ST N, SUITE 401
WICHITA, KS 67206
Physical Therapist
10333 E 21ST ST N, SUITE 406
WICHITA, KS 67206
Psychologist (Clinical)
10333 E 21ST ST N, SUITE 204
WICHITA, KS 67206
Marriage & Family Therapist
10333 E 21ST ST N, STE 204
WICHITA, KS 67206
Chiropractor
10333 E 21ST ST N, BUILDING 100, SUITE 101
WICHITA, KS 67206
Marriage & Family Therapist
10333 E 21ST ST N, STE 401
WICHITA, KS 67206
Chiropractor
10333 E 21ST ST N, BUILDING 100, SUITE 101
WICHITA, KS 67206
Physical Therapist
10333 E 21ST ST N, SUITE #406
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 Witchita 21st Dental, PA's NPI number?

The NPI number for Witchita 21st Dental, PA is 1639799307. It was assigned to this organization in the NPPES registry on April 22, 2020.

Where is Witchita 21st Dental, PA located?

Witchita 21st Dental, PA is located at 10333 E 21st St N, Wichita, KS 67206. The listed phone number is (316) 684-1470.

What is Witchita 21st Dental, PA's specialty?

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

What insurance does Witchita 21st Dental, PA 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 Witchita 21st Dental, PA 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 Witchita 21st Dental, PA was last updated on May 29, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.