OrganizationActive
Cottonwood Dental Kellogg, P.A.
NPI 1063099943 · Dental Clinic/Center · Wichita, KS
Cottonwood Dental Kellogg, P.A. is a Dental Clinic/Center organization in Wichita, KS (NPI 1063099943).
Provider details
- NPI number
- 1063099943
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Mike Yates, Cfo(919) 998-0996
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(62/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
11333 E Kellogg Dr Ste 900
Wichita, KS 67207-1960
Phone: (918) 998-0996
Street-level locationGet directions
Mailing address
400 Riverwalk Ter Ste 250
Jenks, OK 74037-5619
Registry dates
- Enumerated
- 2021-03-26
- Last updated
- 2021-03-26
- Certified
- 2021-03-26
Frequently asked questions
- What is Cottonwood Dental Kellogg, P.A.'s NPI number?
- Cottonwood Dental Kellogg, P.A.'s National Provider Identifier (NPI) is 1063099943, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Cottonwood Dental Kellogg, P.A.?
- Cottonwood Dental Kellogg, P.A. is classified in the NPPES registry as Dental Clinic/Center (Ambulatory Health Care Facilities).
- Where is Cottonwood Dental Kellogg, P.A. located?
- Cottonwood Dental Kellogg, P.A.'s practice location on file with NPPES is 11333 E Kellogg Dr Ste 900, Wichita, KS 67207-1960.
- What is Cottonwood Dental Kellogg, P.A.'s phone number?
- The practice phone number listed in the NPPES registry for Cottonwood Dental Kellogg, P.A. is (918) 998-0996.
- Who is the authorized official for Cottonwood Dental Kellogg, P.A.?
- The authorized official listed on Cottonwood Dental Kellogg, P.A.'s NPPES record is Mike Yates, Cfo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Cottonwood Dental Kellogg, P.A.'s NPI active?
- Yes — Cottonwood Dental Kellogg, P.A.'s NPI (1063099943) is active in the NPPES registry as of the last update on 2021-03-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.