OLATHE PEDIATRIC DENTAL, P.A. – Pediatric Dentistry, NPI 1902612112

OLATHE PEDIATRIC DENTAL, P.A. is a healthcare provider. based in Jenks, Oklahoma. specializing in Pediatric Dentistry. The NPI Number for OLATHE PEDIATRIC DENTAL, P.A. is 1902612112

Main info

Organization
Name
OLATHE PEDIATRIC DENTAL, P.A.
NPI
1902612112
Phone
(918) 998-0996
Address
400 RIVERWALK TER STE 250
Authorized Official
CREED CARDON PRESIDENT DDS
Enumeration Date
4 December 2024
Last Update Date
4 December 2024
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience17
Completeness75
Years active:1State licenses:0Digital endpointsOther names

Provider Addresses for OLATHE PEDIATRIC DENTAL, P.A.

  • 400 RIVERWALK TER STE 250

    JENKS, OK 740375619

    Phone: (918) 998-0996

    Type: Mailing

  • 12708 S BLACKBOB RD STE B

    OLATHE, KS 660621409

    Phone: (913) 225-9749

    Fax: (913) 490-2910

    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.

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Medicare Utilization (FFS)

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

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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

How is OLATHE PEDIATRIC DENTAL, P.A. identified in CMS data?
CMS-hosted NPPES data lists OLATHE PEDIATRIC DENTAL, P.A. with NPI 1902612112.
Does CMS list OLATHE PEDIATRIC DENTAL, P.A. as active?
Yes — OLATHE PEDIATRIC DENTAL, P.A. is active in the NPI listing used on this page.
What is OLATHE PEDIATRIC DENTAL, P.A.'s specialty?
The listing groups OLATHE PEDIATRIC DENTAL, P.A. with Pediatric Dentistry. Clinical services aligned with this taxonomy classification.
What area does OLATHE PEDIATRIC DENTAL, P.A. serve?
OLATHE PEDIATRIC DENTAL, P.A.'s listing highlights Jenks, Oklahoma; more addresses can appear in NPPES.
Why does OLATHE PEDIATRIC DENTAL, P.A. have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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