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Kidspace Pediatric Dentistry Partnership

Pediatric Dentistry in Wichita, KS · enumerated 2023 · authorized official Julie Le, Practice Administrator.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1407561590

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Registry record

Entity type Organization (Type 2)
Legal business name Kidspace Pediatric Dentistry Partnership
Practice address 430 N Woodlawn St, Wichita, KS, 67208
Enumeration date Jan 23, 2023
Last updated in NPPES Jan 23, 2023

Taxonomy & classification

1223G0001X General Practice Dentistry Dental Providers Secondary
1223P0221X Pediatric Dentistry Dental Providers Primary

Authorized official

Name Julie Le
Title Practice Administrator

Other identifiers

Identifier Type State Issuer
30004579430004 Medicaid KS -
30004593990002 Medicaid KS -
30004575080002 Medicaid KS -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where is Kidspace Pediatric Dentistry Partnership located?
The practice location on file with NPPES is in Wichita, KS.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2023-01-23. Verify at npiregistry.cms.hhs.gov.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2023-01-23.