NPIMap

Organization Active NPI

Kidzdent-Childrens Dental Care

  • Dental Clinic/Center
  • Old Bridge, NJ
National Provider Identifier
1205028917
Registry record updated Aug 16, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
KIDZDENT-CHILDRENS DENTAL CARE
Practice address
2455 Route 516
Old Bridge, NJ 08857-1892
Phone
(732) 679-2323
Fax
(732) 679-8896
NPI assigned
Aug 16, 2007
Last updated
Aug 16, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2007

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

Authorized official

Name
Dr. Cavan Brunsden, DMDNPI 1629192174
Title
Owner
Phone
(732) 679-2323

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X NU Primary

Addresses

Primary practice location

2455 Route 516
Old Bridge, NJ 08857-1892

Mailing address

2455 Route 516
Old Bridge, NJ 08857-1892
Phone (732) 679-2323

National Provider Directory

National Provider Directory

Locations

2455 Route 516
Old Bridge, NJ 08857
Phone (732) 679-2323

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1187222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187222400000",
    "number": "1205028917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2455 ROUTE 516",
            "city": "OLD BRIDGE",
            "state": "NJ",
            "postal_code": "088571892",
            "telephone_number": "732-679-2323",
            "fax_number": "732-679-8896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2455 ROUTE 516",
            "city": "OLD BRIDGE",
            "state": "NJ",
            "postal_code": "088571892",
            "telephone_number": "732-679-2323",
            "fax_number": "732-679-8896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDZDENT-CHILDRENS DENTAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-16",
        "last_updated": "2007-08-16",
        "status": "A",
        "authorized_official_last_name": "BRUNSDEN",
        "authorized_official_first_name": "CAVAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-679-2323",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Old Bridge, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2007; 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.