Raytown Dental PLLC
NPI 1205416047ActiveOrganization· Dentist· Raytown, MO
Dentist in Raytown, Missouri, registered in NPPES in April 2021. The authorized official on file is Creed Cardon, Owner.
Overview
| NPI | 1205416047 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 14, 2021 |
| Last updated in NPPES | Nov 8, 2023 |
| Certified by provider | Nov 8, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist Primary | 122300000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Dentist providers in Raytown
- 1710186663
- 1548299407
- 1629511266
- 1740176569
- 1487858866
- 1881907343
- 1679586887
- 1043866445
- 1790840106
- 1851897722
- 1376645523
- 1578614426