Organization Active NPI

Pearly Smiles Family Dentistry

  • General Practice Dentistry
  • Springfield, NJ
National Provider Identifier
1174354237
Registry record updated Aug 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
PEARLY SMILES FAMILY DENTISTRY
Practice address
18 Morris Ave Ste 3B
Springfield, NJ 07081-1455
Phone
(973) 218-6027
NPI assigned
Aug 12, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2024

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

Authorized official

Name
Snigdha Srivastava, DDSNPI 1578810313
Title
Practice Owner
Phone
(954) 682-2216

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

18 Morris Ave Ste 3B
Springfield, NJ 07081-1455

Mailing address

18 Morris Ave Ste 3B
Springfield, NJ 07081-1455

National Provider Directory

National Provider Directory

Locations

18 Morris Ave
Ste 3B
Springfield, NJ 07081
Phone (973) 218-6027

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": "1723420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723420800000",
    "number": "1174354237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 MORRIS AVE STE 3B",
            "city": "SPRINGFIELD",
            "state": "NJ",
            "postal_code": "070811455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 MORRIS AVE STE 3B",
            "city": "SPRINGFIELD",
            "state": "NJ",
            "postal_code": "070811455",
            "telephone_number": "973-218-6027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEARLY SMILES FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-12",
        "last_updated": "2024-08-12",
        "certification_date": "2024-08-11",
        "status": "A",
        "authorized_official_last_name": "SRIVASTAVA",
        "authorized_official_first_name": "SNIGDHA",
        "authorized_official_title_or_position": "PRACTICE OWNER",
        "authorized_official_telephone_number": "954-682-2216",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2024; 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.