Organization Active NPI

Just for Kids Pediatric Dentistry, PLLC

  • Pediatric Dentistry
  • Scarborough, ME
National Provider Identifier
1366574675
Registry record updated Apr 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
JUST FOR KIDS PEDIATRIC DENTISTRY, PLLC
Practice address
300 Technology Way
Scarborough, ME 04074
Phone
(207) 883-4203
Fax
(207) 883-9068
NPI assigned
Mar 12, 2007
Last updated
Apr 3, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2026

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

Authorized official

Name
Veena Kahn, DDSNPI 1134560808
Title
Pediatric Dentist (Owners)
Phone
(863) 558-3260

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 Dentistry 1223P0221X Primary

Addresses

Primary practice location

300 Technology Way
Scarborough, ME 04074

Mailing address

300 Technology Way
Scarborough, ME 04074
Phone (207) 883-4203

Other identifiers 1

IdentifierTypeStateIssuer
134490100MedicaidME

Other names 1

  • Just for Kids Pediatric Dentistry, PA Former legal business name

National Provider Directory

National Provider Directory

Locations

300 Technology Way
Scarborough, ME 04074
Phone (207) 883-4203

313 US Route 1
Scarborough, ME 04074
Phone (207) 883-4203

4 Commons Ave
#D
Windham, ME 04062
Phone (207) 219-8602

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": "1173657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775174400000",
    "number": "1366574675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 TECHNOLOGY WAY",
            "city": "SCARBOROUGH",
            "state": "ME",
            "postal_code": "04074",
            "telephone_number": "207-883-4203",
            "fax_number": "207-883-9068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 TECHNOLOGY WAY",
            "city": "SCARBOROUGH",
            "state": "ME",
            "postal_code": "04074",
            "telephone_number": "207-883-4203",
            "fax_number": "207-883-9068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUST FOR KIDS PEDIATRIC DENTISTRY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-12",
        "last_updated": "2026-04-03",
        "certification_date": "2026-04-03",
        "status": "A",
        "authorized_official_last_name": "KAHN",
        "authorized_official_first_name": "VEENA",
        "authorized_official_title_or_position": "PEDIATRIC DENTIST (OWNERS)",
        "authorized_official_telephone_number": "863-558-3260",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "134490100",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Just for Kids Pediatric Dentistry, PA",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Scarborough, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2026; 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.