Kristal Deann Raya, DMD

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

62097 Issued in KS

Practice address

2143 N Collective LN
Wichita, KS 67206-3504

Phone

(316) 681-3228

NPI assigned

Mar 2, 2018

Sex

Female

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

Enrolled in MO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Compass Health, Inc

  • Community/Behavioral Health Agency
  • Clinton, MO
  • NPI 1285619494
  Medicare reassignment NPD
• Compass Health, Inc

  • Federally Qualified Health Center (FQHC)
  • Rolla, MO
  • NPI 1558258632
  NPD
• Childrens Dentistry of Wichita

  • Pediatric Dentistry
  • Wichita, KS
  • NPI 1295071231
  NPD (past)

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

{
    "created_epoch": "1519948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780617600000",
    "number": "1972005262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2143 N COLLECTIVE LN",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672063504",
            "telephone_number": "316-681-3228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2143 N COLLECTIVE LN",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672063504",
            "telephone_number": "316-681-3228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAYA",
        "first_name": "KRISTAL",
        "middle_name": "DEANN",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-02",
        "last_updated": "2026-06-05",
        "certification_date": "2026-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "KS",
            "license": "62097",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "400084034",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Andria Ray
• Armondo Ray, LSCSW
• Brian Ray, MA-CCC, SLP
• Kristine Marie Ray
• Sydney Ray, DO
• Kelly Lynn Rayl, APRN
• Jennifer Raymo
• Alison Raymond, MD
• Jackie Lynn Raymond
• Hana Razek, MD

• Pediatric Dentistry in Wichita, KS
• Providers in Wichita, KS by specialty
• Pediatric Dentistry in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.