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OLATHE PEDIATRIC DENTAL, P.A.
NPI 1902612112
Dentist - Pediatric Dentistry in Olathe, KS

Active since December 04, 2024
12708 S BLACKBOB RD STE B, OLATHE, KS 66062(913) 225-9749(913) 490-2910 Get Directions Write a Review

NPPES record last updated: December 4, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Olathe Pediatric Dental, P.a. NPPES

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

OLATHE PEDIATRIC DENTAL, P.A. (NPI 1902612112) is a healthcare organization registered as a pediatric dentistry in Olathe, Kansas and active in the NPI registry since December 2024. The organization lists Creed Cardon, President, as its authorized official.

NPPES Registry Identity

NPI1902612112
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameOLATHE PEDIATRIC DENTAL, P.A.
Location Address12708 S BLACKBOB RD STE BOlathe, KS 66062-1409
Mailing Address400 Riverwalk Ter Ste 250Jenks, OK 74037-5619 · (918) 998-0996
Phone(913) 225-9749
Fax(913) 490-2910
Organization SubpartNo
Authorized OfficialCreed CardonPresident · (918) 998-0996
Enumeration DateDecember 4, 2024
NPPES CertifiedDecember 4, 2024
✔ NPI 1902612112 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
12708 S BLACKBOB RD STE B, Olathe, KS 66062
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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 ›

Other Providers at the Same Location NPPES

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

KANSAS KIDS DENTAL LLC
Dentist (General Practice)
12708 S BLACKBOB RD STE B
OLATHE, KS 66062
Johnson County (480) 866-8811

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 Olathe Pediatric Dental, P.A.'s NPI number?

The NPI number for Olathe Pediatric Dental, P.A. is 1902612112. It was assigned to this organization in the NPPES registry on December 4, 2024.

Where is Olathe Pediatric Dental, P.A. located?

Olathe Pediatric Dental, P.A. is located at 12708 S Blackbob Rd Ste B, Olathe, KS 66062. The listed phone number is (913) 225-9749.

What is Olathe Pediatric Dental, P.A.'s specialty?

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

What insurance does Olathe Pediatric Dental, P.A. accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma list Olathe Pediatric Dental, P.A. 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 Olathe Pediatric Dental, P.A. was last updated on December 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.