Healthcare Provider Details

I. General information

NPI: 1992238349
Provider Name (Legal Business Name): CAITLIN MARIE CHIDSEY DMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CAITLIN MARIE POWELL DMD

II. Dates (important events)

Enumeration Date: 04/04/2017
Last Update Date: 01/13/2026
Certification Date: 01/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2180 W DARTMOUTH ST
OLATHE KS
66061-6690
US

IV. Provider business mailing address

16556 S LEGLER ST
OLATHE KS
66062-4135
US

V. Phone/Fax

Practice location:
  • Phone: 913-732-9489
  • Fax:
Mailing address:
  • Phone: 913-302-4622
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code122300000X
TaxonomyDentist
License NumberDS041599
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code1223P0221X
TaxonomyPediatric Dentistry
License Number61323
License Number StateKS
# 3
Primary TaxonomyN
Taxonomy Code1223P0221X
TaxonomyPediatric Dentistry
License Number2018002595
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: