Active NPI
Dental Kidz Pediatric Dentistry LLC
- Pediatric Dentistry
- Springfield, NJ
National Provider Identifier
1396636163
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- Legal business name
- DENTAL KIDZ PEDIATRIC DENTISTRY LLC
- Practice address
- 475 Morris Ave Ste B
Springfield, NJ 07081-1063 - Phone
- (973) 639-1000
- Fax
- (973) 639-1006
- NPI assigned
- Jul 10, 2025
- Last updated
- Jul 10, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Christopher Harvell
- Title
- Ceo
- Phone
- (212) 518-7000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 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
National Provider Directory
National Provider DirectoryLocations
475 Morris Ave
Ste B
Springfield, NJ 07081
Phone (973) 639-1000
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Pediatric Dentistry
- Springfield, NJ
- NPI 1306031794
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1752105600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1752105600000",
"number": "1396636163",
"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": "973-639-1000",
"fax_number": "973-639-1006"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DENTAL KIDZ PEDIATRIC DENTISTRY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-07-10",
"last_updated": "2025-07-10",
"certification_date": "2025-07-10",
"status": "A",
"authorized_official_last_name": "HARVELL",
"authorized_official_first_name": "CHRISTOPHER",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "212-518-7000"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"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 Jul 10, 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.