SAPULPA KIDS DENTAL PLLC
NPI 1285202580
Clinic/Center - Dental in Sapulpa, OK

NPI Status: Active since June 14, 2021

Contact Information

1044 E LINCOLN AVE
SAPULPA, OK
ZIP 74066
Phone: (918) 224-7000

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  • Organization
  • Clinic/Center
  • Dental
  • Accepts Insurance

About SAPULPA KIDS DENTAL PLLC

This page provides the complete NPI Profile along with additional information for Sapulpa Kids Dental Pllc, a provider established in Sapulpa, Oklahoma operating as a Clinic/center, focusing in dental . The healthcare provider is registered in the NPI registry with number 1285202580 assigned on June 2021. The practitioner's primary taxonomy code is 261QD0000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The authorized official of this NPI record is Creed Cardon (Owner)

NPI
1285202580
Provider Name
SAPULPA KIDS DENTAL PLLC
Entity Type
Organization
Location Address
1044 E LINCOLN AVE SAPULPA, OK 74066
Location Phone
(918) 224-7000
Mailing Address
400 RIVERWALK TER STE 250 JENKS, OK 74037
Mailing Phone
(918) 998-0996
Mailing Fax
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-14-2021
Last Update Date
11-08-2023
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Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Dental

Taxonomy Code
261QD0000X
Type
Ambulatory Health Care Facilities

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Choice Bronze HSA (QualChoice) - POS
  • Complete Gold - PPO
  • Complete Gold + Vision + Adult Dental - PPO
  • Complete Silver (QualChoice) - POS
  • Connected Silver - PPO
  • Connected Silver (QualChoice) - POS
  • Connected Silver (QualChoiceLife) - PPO
  • Connected Silver + Vision + Adult Dental - PPO
  • Elite Bronze - PPO
  • Elite Bronze + Vision + Adult Dental - PPO
  • Complete Gold - EPO
  • Complete Gold + Vision + Adult Dental - EPO
  • Complete Silver - EPO
  • Complete Silver + Vision + Adult Dental - EPO
  • Elite Bronze - EPO
  • Elite Bronze + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Everyday Gold - EPO
  • Everyday Gold + Vision + Adult Dental - EPO
  • Clear Silver - EPO
  • Elite Bronze - EPO
  • Elite Bronze + Vision + Adult Dental - EPO
  • Elite Gold - EPO
  • Elite Gold + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Everyday Gold - EPO
  • Everyday Gold + Vision + Adult Dental - EPO
  • Focused Silver - EPO
  • Complete Gold - EPO
  • Complete Gold + Vision + Adult Dental - EPO
  • Complete Silver - EPO
  • Complete Silver + Vision + Adult Dental - EPO
  • Everyday Gold - EPO
  • Everyday Gold + Vision + Adult Dental - EPO
  • Focused Silver - EPO
  • Focused Silver + Vision + Adult Dental - EPO
  • Standard Gold - EPO
  • Standard Gold + Vision + Adult Dental - EPO
  • Elite Bronze - PPO
  • Elite Bronze + Vision + Adult Dental - PPO
  • Elite Gold - PPO
  • Elite Gold + Vision + Adult Dental - PPO
  • Everyday Bronze - PPO
  • Everyday Bronze + Vision + Adult Dental - PPO
  • Everyday Gold - PPO
  • Everyday Gold + Vision + Adult Dental - PPO
  • Focused Silver - PPO
  • Focused Silver + Vision + Adult Dental - PPO
  • Smile Now Arizona - No Waiting Period PPO - PPO
  • Smile Now Illinois - No Waiting Period PPO - PPO
  • Smile Now Michigan - No Waiting Period PPO - PPO
  • Smile Now Ohio - No Waiting Period PPO - PPO
  • Smile Now Tennessee - No Waiting Period PPO - PPO
  • Smile Now Texas- No Waiting Period Plan - PPO
  • Smile Now Utah - No Waiting Period PPO - PPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

CREED CARDON

Authorized Official Title
OWNER
Authorized Official Phone
(918) 998-0996

Reviews for SAPULPA KIDS DENTAL PLLC

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1285202580
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
22165404516
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 1 + 6 + 5 + 4 + 0 + 4 + 5 + 1 + 6 + 24 = 60
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1285202580 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 5 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1275832610 BRENDA SUE HOWELL D.A.
Individual
Dental Assistant1044 E LINCOLN AVE
SAPULPA, OK 74066
(918) 224-7000
1306145701 NICOLE ROCHELLE REDD D.A.
Individual
Dental Assistant1044 E LINCOLN AVE
SAPULPA, OK 74066
(918) 224-7000
1336438365 JESSICA CARRAGHER
Individual
Dental Assistant1044 E LINCOLN AVE
SAPULPA, OK 74066
(918) 224-7000
1124309216SMILING MONKEY PLLC
Organization
Dentist (General Practice)1044 E LINCOLN AVE
SAPULPA, OK 74066
(918) 224-7000
1487344420 VICTORIA JUSTUS
Individual
Dentist (General Practice)1044 E LINCOLN AVE
SAPULPA, OK 74066
(918) 224-7000

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1285202580, enumerated in the NPI registry as an "organization" on June 14, 2021

The provider is located at 1044 E Lincoln Ave Sapulpa, Ok 74066 and the phone number is (918) 224-7000

This medical organization specializes in Clinic/Center with taxonomy code 261QD0000X with a focus in Dental

The provider might be accepting Accepts: Ambetter from Arkansas Health & Wellness, Ambetter. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on June 14, 2021. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.