Organization Active NPI

Dental Kidz Pediatric Dentistry LLC

  • Pediatric Dentistry
  • Springfield, NJ
National Provider Identifier
1396636163
Registry record updated Jul 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
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, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2025

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

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.

Verify at the official NPI Registry.