Organization Active NPI

Childrens Dental Health of Bridgeport PLLC

  • Pediatric Dentistry
  • Bridgeport, CT
National Provider Identifier
1508686320
Registry record updated Oct 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
CHILDRENS DENTAL HEALTH OF BRIDGEPORT PLLC
Practice address
3715 Main St Ste 301
Bridgeport, CT 06606-3611
Phone
(609) 712-0708
NPI assigned
Oct 15, 2024
Last updated
Oct 15, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2024

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

Authorized official

Name
Dr. Raghbir Kaur, DMDNPI 1679722920
Title
Dentist
Phone
(609) 712-0708

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X
Pediatric Dentistry 1223P0221X Primary

Addresses

Primary practice location

3715 Main St Ste 301
Bridgeport, CT 06606-3611

Mailing address

3715 Main St Ste 301
Bridgeport, CT 06606-3611
Phone (609) 712-0708

National Provider Directory

National Provider Directory

Locations

3715 Main St
Ste 301
Bridgeport, CT 06606
Phone (609) 712-0708

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": "1728950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728950400000",
    "number": "1508686320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3715 MAIN ST STE 301",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066063611",
            "telephone_number": "609-712-0708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3715 MAIN ST STE 301",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066063611",
            "telephone_number": "609-712-0708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDRENS DENTAL HEALTH OF BRIDGEPORT PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-15",
        "last_updated": "2024-10-15",
        "certification_date": "2024-10-15",
        "status": "A",
        "authorized_official_last_name": "KAUR",
        "authorized_official_first_name": "RAGHBIR",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "609-712-0708",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bridgeport, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2024; 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.