OrganizationActive
Illuminate Family Dentistry, LLC
NPI 1316691736 · General Practice Dentistry · Derby, KS
Illuminate Family Dentistry, LLC is a General Practice Dentistry organization in Derby, KS (NPI 1316691736).
Provider details
- NPI number
- 1316691736
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Rachel Clark, Owner Dentist(316) 847-7730
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(61/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 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
250 W Red Powell Dr Ste 500
Derby, KS 67037-2626
Phone: (316) 847-7730
Street-level locationGet directions
Mailing address
2113 N Woodard St
Derby, KS 67037-2364
Registry dates
- Enumerated
- 2022-02-04
- Last updated
- 2022-02-04
- Certified
- 2022-02-04
Frequently asked questions
- What is Illuminate Family Dentistry, LLC's NPI number?
- Illuminate Family Dentistry, LLC's National Provider Identifier (NPI) is 1316691736, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Illuminate Family Dentistry, LLC?
- Illuminate Family Dentistry, LLC is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Illuminate Family Dentistry, LLC located?
- Illuminate Family Dentistry, LLC's practice location on file with NPPES is 250 W Red Powell Dr Ste 500, Derby, KS 67037-2626.
- What is Illuminate Family Dentistry, LLC's phone number?
- The practice phone number listed in the NPPES registry for Illuminate Family Dentistry, LLC is (316) 847-7730.
- Who is the authorized official for Illuminate Family Dentistry, LLC?
- The authorized official listed on Illuminate Family Dentistry, LLC's NPPES record is Rachel Clark, Owner Dentist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Illuminate Family Dentistry, LLC's NPI active?
- Yes — Illuminate Family Dentistry, LLC's NPI (1316691736) is active in the NPPES registry as of the last update on 2022-02-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.