Neosho Kids Dental – Pediatric Dentistry, NPI 1851101422

Neosho Kids Dental is a healthcare provider. based in Jenks, Oklahoma. specializing in Pediatric Dentistry. The NPI Number for Neosho Kids Dental is 1851101422

Main info

Organization
Name
Neosho Kids Dental
NPI
1851101422
Phone
(918) 998-0996
Address
400 RIVERWALK TER STE 250
Authorized Official
CREED CARDON OWNER/DENTIST
Enumeration Date
7 January 2025
Last Update Date
7 January 2025
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience17
Completeness80
Years active:1State licenses:0Digital endpointsUpdated within 12 months

Provider Addresses for Neosho Kids Dental

  • 400 RIVERWALK TER STE 250

    JENKS, OK 740375619

    Phone: (918) 998-0996

    Fax: (918) 235-9079

    Type: Mailing

  • 3201 LUSK DR STE 111K

    NEOSHO, MO 648502019

    Phone: (918) 998-0996

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 74037)

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Reviews

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Frequently asked questions

Does Neosho Kids Dental share an NPI with anyone else?
NPI numbers are unique to each provider or organization — Neosho Kids Dental uses 1851101422.
Does CMS list Neosho Kids Dental as active?
Yes — Neosho Kids Dental is active in the NPI listing used on this page.
What healthcare role does Neosho Kids Dental hold?
Scheduling teams often label Neosho Kids Dental under Pediatric Dentistry. Clinical services aligned with this taxonomy classification.
Does Neosho Kids Dental list a practice location?
Patients near Jenks, Oklahoma may find Neosho Kids Dental in results; validate coverage separately.
What does 'Organization' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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