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

NPI Status: Active since April 22, 2020

Contact Information

10333 E 21ST ST N
WICHITA, KS
ZIP 67206
Phone: (316) 684-1470

Get Directions Write a Review

  • Organization
  • Dentist
  • General Practice
  • Accepts Insurance

About WITCHITA 21ST DENTAL, PA

This page provides the complete NPI Profile along with additional information for Witchita 21st Dental, Pa, a provider established in Wichita, Kansas operating as a Dentist, focusing in general practice . The healthcare provider is registered in the NPI registry with number 1639799307 assigned on April 2020. The practitioner's primary taxonomy code is 1223G0001X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The authorized official of this NPI record is Creed L Cardon (Dds)

NPI
1639799307
Provider Name
WITCHITA 21ST DENTAL, PA
Entity Type
Organization
Location Address
10333 E 21ST ST N WICHITA, KS 67206
Location Phone
(316) 684-1470
Mailing Address
400 RIVERWALK TER STE 250 JENKS, OK 74037
Mailing Phone
(918) 998-0996
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-22-2020
Last Update Date
05-29-2020
Code Navigator

A dentist like Witchita 21st Dental, Pa is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Dentist General Practice

Taxonomy Code
1223G0001X
Type
Dental Providers
Taxonomy Description
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1261QD0000XAmbulatory Health Care Facilities

Clinic/Center
Dental

 

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Complete Gold - EPO
  • Complete Gold + Vision + Adult Dental - EPO
  • Complete Silver - EPO
  • Complete Silver + Vision + Adult Dental - EPO
  • Elite Bronze - EPO
  • Elite Bronze + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Everyday Gold - EPO
  • Everyday Gold + Vision + Adult Dental - EPO
  • Elite Bronze - EPO
  • Elite Bronze + Vision + Adult Dental - EPO
  • Elite Gold - EPO
  • Elite Gold + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Everyday Gold - EPO
  • Everyday Gold + Vision + Adult Dental - EPO
  • Focused Silver - EPO
  • Focused Silver + Vision + Adult Dental - EPO
  • Choice Bronze HSA - EPO
  • Choice Bronze HSA + Vision + Adult Dental - EPO
  • Clear Gold - EPO
  • Clear Gold + Vision + Adult Dental - EPO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Elite Bronze - EPO
  • Elite Bronze - HMO
  • Elite Bronze + Vision + Adult Dental - EPO
  • Elite Bronze + Vision + Adult Dental - HMO
  • Clear Gold - EPO
  • Clear Gold + Vision + Adult Dental - EPO
  • Complete Gold - EPO
  • Complete Gold + Vision + Adult Dental - EPO
  • Elite Silver - EPO
  • Elite Silver + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Focused Silver - EPO
  • Focused Silver + Vision + Adult Dental - EPO
  • Elite Bronze - PPO
  • Elite Bronze + Vision + Adult Dental - PPO
  • Elite Gold - PPO
  • Elite Gold + Vision + Adult Dental - PPO
  • Enhanced Asthma/COPD Care Silver with $0 Drug Options - PPO
  • Enhanced Asthma/COPD Care Silver with $0 Drug Options + Vision + Adult Dental - PPO
  • Enhanced Diabetes Care Silver with $0 Drug Options - PPO
  • Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental - PPO
  • Everyday Bronze - PPO
  • Everyday Bronze + Vision + Adult Dental - PPO
  • BlueCare EPO Bronze - EPO
  • BlueCare EPO Gold - EPO
  • BlueCare EPO Gold Plus - EPO
  • BlueCare EPO Silver Plus - EPO
  • BlueCare EPO Simple Bronze HDHP - EPO
  • BlueCare EPO Simple Silver HDHP - EPO
  • BlueCare EPO Standardized Expanded Bronze - EPO
  • BlueCare EPO Standardized Gold - EPO
  • BlueCare EPO Standardized Silver - EPO
  • Lone Star - Smile Now - PPO
  • Smile Now Arizona - No Waiting Period PPO - PPO
  • Smile Now Michigan - No Waiting Period PPO - PPO
  • Smile Now Ohio - No Waiting Period PPO - PPO
  • Smile Now Texas- No Waiting Period Plan - PPO
  • Smile Now Utah - No Waiting Period PPO - PPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

CREED L CARDON

Authorized Official Title
DDS
Authorized Official Phone
(918) 998-0996

Reviews for WITCHITA 21ST DENTAL, PA

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1639799307, we treat the final digit (7) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 73. The final step is to find the difference between that total and the next multiple of ten (80 - 73 = 7).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
6
Unchanged
Pos 3
3
Doubled → 6
Pos 4
9
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
9
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
3
Unchanged
Pos 9
0
Doubled → 0
Check
7
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 3 → 6 7 → 14 → 5 9 → 18 → 9 0 → 0

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 6 + 6 + 9 + 1 + 4 + 9 + 1 + 8 + 3 + 0 + 24 = 73

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 73 is 80. The difference is the calculated check digit.

80 - 73 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1639799307.

Other Providers at the Same Location


The following 12 providers are registered at the same or a nearby location.

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
Marriage & Family Therapist
10333 E 21ST ST N, SUITE 401
WICHITA, KS 67206
Chiropractor
10333 E 21ST ST N, BLDG 100, SUITE 101
WICHITA, KS 67206
Physical Therapist
10333 E 21ST ST N, STE 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
Physical Therapist
10333 E 21ST ST N, SUITE #406
WICHITA, KS 67206
Marriage & Family Therapist
10333 E 21ST ST N, 204
WICHITA, KS 67206
Psychologist (Clinical)
10333 E 21ST ST N, ADVOCATES FOR BEHAVIORAL HALTH
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

The NPI number assigned to this healthcare provider is 1639799307, enumerated as an "organization" on April 22, 2020.

The provider is located at 10333 E 21ST ST N WICHITA, KS 67206 and the phone number is (316) 684-1470.

Dentist with taxonomy code 1223G0001X and a focus in General Practice.

The provider might be accepting Accepts: Ambetter from Home State Health, Ambetter from. Please consult your insurance carrier or call the provider to verify.