OrganizationActive
Olathe Pediatric Dental, P.A.
NPI 1902612112 · Pediatric Dentistry · Olathe, KS
Olathe Pediatric Dental, P.A. is a Pediatric Dentistry organization in Olathe, KS (NPI 1902612112).
Provider details
- NPI number
- 1902612112
- Entity type
- Organization
- Primary specialty
- Pediatric DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Creed Cardon, President(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
12708 S Blackbob Rd Ste B
Olathe, KS 66062-1409
Phone: (913) 225-9749
Fax: (913) 490-2910
Street-level locationGet directions
Mailing address
400 Riverwalk Ter Ste 250
Jenks, OK 74037-5619
Registry dates
- Enumerated
- 2024-12-04
- Last updated
- 2024-12-04
- Certified
- 2024-12-04
Frequently asked questions
- What is Olathe Pediatric Dental, P.A.'s NPI number?
- Olathe Pediatric Dental, P.A.'s National Provider Identifier (NPI) is 1902612112, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Olathe Pediatric Dental, P.A.?
- Olathe Pediatric Dental, P.A. is classified in the NPPES registry as Pediatric Dentistry (Dental Providers).
- Where is Olathe Pediatric Dental, P.A. located?
- Olathe Pediatric Dental, P.A.'s practice location on file with NPPES is 12708 S Blackbob Rd Ste B, Olathe, KS 66062-1409.
- What is Olathe Pediatric Dental, P.A.'s phone number?
- The practice phone number listed in the NPPES registry for Olathe Pediatric Dental, P.A. is (913) 225-9749.
- Who is the authorized official for Olathe Pediatric Dental, P.A.?
- The authorized official listed on Olathe Pediatric Dental, P.A.'s NPPES record is Creed Cardon, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Olathe Pediatric Dental, P.A.'s NPI active?
- Yes — Olathe Pediatric Dental, P.A.'s NPI (1902612112) is active in the NPPES registry as of the last update on 2024-12-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.