Organization Active NPI

Little Molars Pediatric Dentistry LLC

  • Pediatric Dentistry
  • West Caldwell, NJ
National Provider Identifier
1104540558
Registry record updated Sep 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
LITTLE MOLARS PEDIATRIC DENTISTRY LLC
Practice address
905 Bloomfield Ave # B
West Caldwell, NJ 07006-7128
Phone
(732) 763-5504
NPI assigned
Sep 29, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2022

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

Authorized official

Name
Dr. Chirag Patel, DMDNPI 1649567447
Title
Owner
Phone
(732) 763-5504

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X Primary

Addresses

Primary practice location

905 Bloomfield Ave # B
West Caldwell, NJ 07006-7128

Mailing address

905 Bloomfield Ave # B
West Caldwell, NJ 07006-7128

National Provider Directory

National Provider Directory

Locations

905 Bloomfield Ave
#B
West Caldwell, NJ 07006
Phone (732) 763-5504

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1664409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664409600000",
    "number": "1104540558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "905 BLOOMFIELD AVE # B",
            "city": "WEST CALDWELL",
            "state": "NJ",
            "postal_code": "070067128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 BLOOMFIELD AVE # B",
            "city": "WEST CALDWELL",
            "state": "NJ",
            "postal_code": "070067128",
            "telephone_number": "732-763-5504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LITTLE MOLARS PEDIATRIC DENTISTRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-29",
        "last_updated": "2022-09-29",
        "certification_date": "2022-09-29",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "CHIRAG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-763-5504",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Caldwell, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2022; 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.