Salt City Dental, P.a.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

SALT CITY DENTAL, P.A.

Practice address

4 Compound Dr
Hutchinson, KS 67502-4300

Phone

(620) 663-1788

NPI assigned

Jun 18, 2024

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

President

Phone

(918) 998-0996

Specialties & licenses 1

Addresses

Locations

Practitioners 4

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

• Aldo Macias

  • Dentist
  • Carpinteria, CA
  • NPI 1063254878
  NPD
• Shawn Dale Jensen, D.D.S.

  • Dentist
  • Hutchinson, KS
  • NPI 1093801086
  NPD (past)
• David Willardson

  • Dentist
  • Wichita, KS
  • NPI 1407344294
  NPD (past)
• Edward Yeates, DMD

  • General Practice Dentistry
  • Cottonwood Heights, UT
  • NPI 1548014210
  NPD (past)

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

{
    "created_epoch": "1718668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718668800000",
    "number": "1629811484",
    "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",
            "fax_number": "918-235-9079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 COMPOUND DR",
            "city": "HUTCHINSON",
            "state": "KS",
            "postal_code": "675024300",
            "telephone_number": "620-663-1788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALT CITY DENTAL, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-18",
        "last_updated": "2024-06-18",
        "certification_date": "2024-06-18",
        "status": "A",
        "authorized_official_last_name": "CARDON",
        "authorized_official_first_name": "CREED",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "918-998-0996"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher Michael Sacilowski, D.O.
• Naveed Salahuddin, MD
• Dave Sallee
• Salt City Anesthesia LLC
• Salt City Chiropractic, LLC
• Sanatio
• Christine Sanders, MD
• Erin Gayle Sanders, RN,BSN
• Tanner Anthony Sanders
• Rebeca J Sandoval, LSCSW

• General Practice Dentistry in Hutchinson, KS
• Providers in Hutchinson, KS by specialty
• General Practice Dentistry in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 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.