OrganizationActive
Neosho Kids Dental, LLC
NPI 1851101422 · Pediatric Dentistry · Neosho, MO
Neosho Kids Dental, LLC is a Pediatric Dentistry organization in Neosho, MO (NPI 1851101422).
Provider details
- NPI number
- 1851101422
- Entity type
- Organization
- Primary specialty
- Pediatric DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Creed Cardon, Owner/Dentist(918) 998-0996
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(55/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr 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
3201 Lusk Dr Ste 111k
Neosho, MO 64850-2019
Phone: (918) 998-0996
Approximate (ZIP-level) locationGet directions
Mailing address
400 Riverwalk Ter Ste 250
Jenks, OK 74037-5619
Other names (DBA / former)
- Doing business as
- Neosho Kids Dental
Registry dates
- Enumerated
- 2025-01-07
- Last updated
- 2025-01-07
- Certified
- 2025-01-07
Frequently asked questions
- What is Neosho Kids Dental, LLC's NPI number?
- Neosho Kids Dental, LLC's National Provider Identifier (NPI) is 1851101422, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Neosho Kids Dental, LLC?
- Neosho Kids Dental, LLC is classified in the NPPES registry as Pediatric Dentistry (Dental Providers).
- Where is Neosho Kids Dental, LLC located?
- Neosho Kids Dental, LLC's practice location on file with NPPES is 3201 Lusk Dr Ste 111k, Neosho, MO 64850-2019.
- What is Neosho Kids Dental, LLC's phone number?
- The practice phone number listed in the NPPES registry for Neosho Kids Dental, LLC is (918) 998-0996.
- Who is the authorized official for Neosho Kids Dental, LLC?
- The authorized official listed on Neosho Kids Dental, LLC's NPPES record is Creed Cardon, Owner/Dentist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Neosho Kids Dental, LLC's NPI active?
- Yes — Neosho Kids Dental, LLC's NPI (1851101422) is active in the NPPES registry as of the last update on 2025-01-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.