Seneca Family Smiles P L L C

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

SENECA FAMILY SMILES P L L C

Practice address

1406 Chestnut St
Seneca, MO 64865-9261

Phone

(918) 998-0996

NPI assigned

Apr 28, 2022

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Creed Cardon

Title

Owner

Phone

(918) 998-0996

Specialties & licenses 1

Addresses

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Cory McLeod, DDS

  • Dentist
  • Webb City, MO
  • NPI 1982228409
  NPD (past)
• Cody Shawn Groll, DDS

  • Dentist
  • Pittsburg, KS
  • NPI 1215662788
  NPD (past)
• Matthew Gibb Olsen, DMD

  • Dentist
  • Las Vegas, NV
  • NPI 1255023396
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1651104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699401600000",
    "number": "1396480976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 RIVERWALK TER STE 250",
            "city": "JENKS",
            "state": "OK",
            "postal_code": "740375619",
            "telephone_number": "918-998-0996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1406 CHESTNUT ST",
            "city": "SENECA",
            "state": "MO",
            "postal_code": "648659261",
            "telephone_number": "918-998-0996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENECA FAMILY SMILES P L L C",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-28",
        "last_updated": "2023-11-08",
        "certification_date": "2023-11-08",
        "status": "A",
        "authorized_official_last_name": "CARDON",
        "authorized_official_first_name": "CREED",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "918-998-0996"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Neely
• Darin L Oxford, D.C.
• Laura Simone Pendergraft
• Koby Prater, PHARM.D.
• Seneca Family Dental Brenda Herrman, DDS, LLC
• Seneca Healthcare Center LLC
• Seneca R-7 School District
• Marvin A. Singleton, MD
• Bree West, OTR/L
• Cameron Willis, DDS

• All providers in Seneca, MO
• Dentist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.