Vrinda Nanavati

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

22DI02893500 Issued in NJ

Practice address

76 Bellevue Ave
Montclair, NJ 07043-2430

Phone

(973) 744-3127

NPI assigned

Feb 26, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Fresh Pediatric Dentistry PC

  dba Sparkles Dentistry for Children

  • Pediatric Dentistry
  • Montclair, NJ
  • NPI 1497488985
  NPD (past)
• Kidzdent Childrens Dental Center LLC

  • Dentist
  • Old Bridge, NJ
  • NPI 1053026799
  NPD (past)
• Kidzdent-Childrens Dental Care

  • Dental Clinic/Center
  • Old Bridge, NJ
  • NPI 1205028917
  NPD (past)

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

{
    "created_epoch": "1519603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742342400000",
    "number": "1427559491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8125 RIVER RD APT 5C",
            "city": "NORTH BERGEN",
            "state": "NJ",
            "postal_code": "070477202",
            "telephone_number": "585-200-6874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "76 BELLEVUE AVE",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070432430",
            "telephone_number": "973-744-3127"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2455 Route 516",
            "address_purpose": "LOCATION",
            "city": "Old Bridge",
            "state": "NJ",
            "postal_code": "088571892",
            "country_code": "US",
            "telephone_number": "732-679-2323",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NANAVATI",
        "first_name": "VRINDA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-02-26",
        "last_updated": "2025-03-19",
        "certification_date": "2025-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NJ",
            "license": "22DI02893500",
            "primary": true
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "MA",
            "license": "DN1858735",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• My Home Doctor of New Jersey, LLC
• My Inspired Voice, LLC
• Joseph David Myhren, PT
• Quratulain Nafees, MBBS
• Meredith G Nahra
• Nancy Frederic , NP LLC
• Naomi S Grobstein (Family Health Center of Montclair)
• Deirdre Ann Narcisse, PSYD
• Narwhal ABA LLC
• Mona Hanna Nashed, PHARM.D.

• Pediatric Dentistry in Montclair, NJ
• Providers in Montclair, NJ by specialty
• Pediatric Dentistry in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 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.