Organization Active NPI

Caldwell Dental Spa LLC

Doing business as Nuva Smile

  • General Practice Dentistry
  • Caldwell, NJ
National Provider Identifier
1538970207
Registry record updated Jan 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
CALDWELL DENTAL SPA LLC
Doing business as
Nuva Smile
Practice address
155 Roseland Ave Ste 6
Caldwell, NJ 07006-5937
Phone
(973) 403-3455
Fax
(973) 403-7804
NPI assigned
Jan 14, 2025
Last updated
Jan 14, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2025

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

Authorized official

Name
Amy Bodrato
Title
Corporate Manager
Phone
(609) 547-3232

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X Primary

Addresses

Primary practice location

155 Roseland Ave Ste 6
Caldwell, NJ 07006-5937

Mailing address

155 Roseland Ave Ste 6
Caldwell, NJ 07006-5937
Phone (973) 403-3455

Other names 1

  • Nuva Smile Doing business as

National Provider Directory

National Provider Directory

Locations

155 Roseland Ave
Ste 6
Caldwell, NJ 07006
Phone (973) 403-3455

NPI Registry JSON

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

{
    "created_epoch": "1736812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736812800000",
    "number": "1538970207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 ROSELAND AVE STE 6",
            "city": "CALDWELL",
            "state": "NJ",
            "postal_code": "070065937",
            "telephone_number": "973-403-3455",
            "fax_number": "973-403-7804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 ROSELAND AVE STE 6",
            "city": "CALDWELL",
            "state": "NJ",
            "postal_code": "070065937",
            "telephone_number": "973-403-3455",
            "fax_number": "973-403-7804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALDWELL DENTAL SPA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-14",
        "last_updated": "2025-01-14",
        "certification_date": "2025-01-14",
        "status": "A",
        "authorized_official_last_name": "BODRATO",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "CORPORATE MANAGER",
        "authorized_official_telephone_number": "609-547-3232"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nuva Smile",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Caldwell, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 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.