David Willardson

Primary specialty

DentistTaxonomy code 122300000X

License

61577 Issued in KS

Practice address

10333 E 21St St N Ste 101
Wichita, KS 67206-3544

Phone

(316) 684-1470

Fax

(316) 684-1470

NPI assigned

Apr 26, 2018

Last updated

May 8, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Cottonwood Dental Kellogg, P.a.

  • Dental Clinic/Center
  • Wichita, KS
  • NPI 1063099943
  NPD (past)
• Cottonwood Dental Maize, PA

  • General Practice Dentistry
  • Wichita, KS
  • NPI 1902413453
  NPD (past)
• Cottonwood Dental Pratt, P.a.

  • Dentist
  • Pratt, KS
  • NPI 1336724749
  NPD (past)
• Dental Care of Wichita PA

  • Dentist
  • Wichita, KS
  • NPI 1003570110
  NPD (past)
• Marion Family Smiles, P.a.

  • Dental Clinic/Center
  • Marion, KS
  • NPI 1891450037
  NPD (past)
• Rio Dental, P.a.

  • Dentist
  • Wichita, KS
  • NPI 1013596014
  NPD (past)
• Salt City Dental, P.a.

  • General Practice Dentistry
  • Hutchinson, KS
  • NPI 1629811484
  NPD (past)
• Spring Dental Bartlesville

  • General Practice Dentistry
  • Bartlesville, OK
  • NPI 1346787504
  NPD (past)
• TNT Dental Services PLLC

  dba Willow Hill Dental Group

  • General Practice Dentistry
  • Bartlesville, OK
  • NPI 1447475348
  NPD (past)

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

{
    "created_epoch": "1524700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715126400000",
    "number": "1407344294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10333 E 21ST ST N STE 101",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672063544",
            "telephone_number": "316-684-1470",
            "fax_number": "316-684-1470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10333 E 21ST ST N STE 101",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672063544",
            "telephone_number": "316-684-1470",
            "fax_number": "316-684-1470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLARDSON",
        "first_name": "DAVID",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-26",
        "last_updated": "2024-05-08",
        "certification_date": "2024-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "KS",
            "license": "61577",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200540820B",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hanna N. Wilkinson, PMHNP
• Larry Wilkinson, MD
• Sharon Wilkinson
• Zachary A Will, CPTA
• Shanon Latrice Willams, NURSING ASSISTANT
• Delisa Willcut, CRNA
• Paul J Willert, D.C.
• Michael Willey
• Stephanie Nicole Willey, BCABA
• Susan Marie Willey, PT

• Dentist in Wichita, KS
• Providers in Wichita, KS by specialty
• Dentist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2024; 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.