Individual provider Active NPI

Lezli Levene Harvell, DMD

  • Pediatric Dentistry
  • Springfield, NJ
National Provider Identifier
1306031794
Registry record updated May 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
22DI02370900 Issued in NJ
Practice address
475 Morris Ave Ste B
Springfield, NJ 07081-1063
Phone
(973) 391-1000
Fax
(973) 391-1005
NPI assigned
Sep 10, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 15, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 053351 NY
Pediatric Dentistry 1223P0221X 22DI02370900 NJ Primary

Addresses

Primary practice location

475 Morris Ave Ste B
Springfield, NJ 07081-1063

Mailing address

475 Morris Ave Ste B
Springfield, NJ 07081-1063
Phone (973) 639-1000

Other identifiers 1

IdentifierTypeStateIssuer
0170356MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
22DI02370900NJMDPediatric Dentist
053351NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Dental Kidz Pediatric Dentistry LLC Pediatric Dentistry CurrentSince Jul 13, 2025 Accepting new patients

Locations

475 Morris Ave
Ste B
Springfield, NJ 07081
Phone (973) 391-1000

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1189382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747267200000",
    "number": "1306031794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "475 MORRIS AVE STE B",
            "city": "SPRINGFIELD",
            "state": "NJ",
            "postal_code": "070811063",
            "telephone_number": "973-639-1000",
            "fax_number": "973-639-1006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "475 MORRIS AVE STE B",
            "city": "SPRINGFIELD",
            "state": "NJ",
            "postal_code": "070811063",
            "telephone_number": "973-391-1000",
            "fax_number": "973-391-1005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVENE HARVELL",
        "first_name": "LEZLI",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-10",
        "last_updated": "2025-05-15",
        "certification_date": "2025-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "053351",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NJ",
            "license": "22DI02370900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0170356",
            "state": "NJ"
        }
    ],
    "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 May 15, 2025; 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.