Smile Craft Dental, LLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

SMILE CRAFT DENTAL, LLC

Practice address

5315 E 21St St N Ste 104
Wichita, KS 67208-1600

Phone

(408) 209-2855

NPI assigned

May 7, 2020

Organization subpart

No

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

Authorized official

Name

Cindy Le

Title

Office Manager

Phone

(408) 209-2855

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Smile Craft Family Dentistry Doing business as

Locations

Practitioners 1

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

• Thomas Kieu, DDS

  • General Practice Dentistry
  • Wichita, KS
  • NPI 1770216244
  NPD (past)

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

{
    "created_epoch": "1588809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588809600000",
    "number": "1861014367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5315 E 21ST ST N STE 104",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672081600",
            "telephone_number": "408-209-2855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5315 E 21ST ST N STE 104",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672081600",
            "telephone_number": "408-209-2855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILE CRAFT DENTAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-07",
        "last_updated": "2020-05-07",
        "certification_date": "2020-05-07",
        "status": "A",
        "authorized_official_last_name": "LE",
        "authorized_official_first_name": "CINDY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "408-209-2855"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200877840C",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Smile Craft Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Vickie L Smalley, D.O.
• Janelle M Smarsh, CRNA
• Hope Smelser
• Lacey Smethers, LAC
• Smile Connections Family Dental, L.L.C.
• Smiles Orthodontics LLC
• Chelsea K Smith - McKinney, T-LMSW
• Rachel Smith-Nava
• Alan R Smith, PT
• Alicia Smith

• 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 7, 2020; 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.