Maize Dental Studio PA

Primary specialty

Public Health DentistryTaxonomy code 1223D0001X

Legal business name

MAIZE DENTAL STUDIO PA

Practice address

10240 W 29TH St N Ste 102
Wichita, KS 67205-7913

Phone

(918) 998-0996

NPI assigned

Feb 20, 2025

Organization subpart

No

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

Authorized official

Name

Creed Cardon, DDS

Title

President

Phone

(918) 998-0996

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1740009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740009600000",
    "number": "1689470650",
    "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": "10240 W 29TH ST N STE 102",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672057913",
            "telephone_number": "918-998-0996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAIZE DENTAL STUDIO PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-20",
        "last_updated": "2025-02-20",
        "certification_date": "2025-02-14",
        "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",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223D0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Dental Public Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph Njuku Maina, FNP
• Lillian Nyakairu Maina, LMSW
• Sandhya Mainali, MD
• Linda Marie Mainzer, RRT
• Maize CCRC, LLC
• Bradford D Majher, O.D.
• Mark Andrew Majher, CLVT
• Christopher A Majors, DDS
• Janey E. Maki, MD
• Aziz R Maksoud, MD

• Public Health Dentistry in Wichita, KS
• Providers in Wichita, KS by specialty
• Public Health Dentistry in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2025; 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.