Kids Integrative Norterra Dentistry, LLC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

KIDS INTEGRATIVE NORTERRA DENTISTRY, LLC

Doing business as

Kids Dental Norterra
Kids Dental North Phoenix

Practice address

2460 W Happy Valley Rd Ste 1189
Phoenix, AZ 85085-8511

Phone

(602) 833-2564

NPI assigned

Mar 2, 2026

Last updated

Jun 9, 2026By the provider in NPPES

Organization subpart

Yes

Parent organization

KIDS INTEGRATIVE DENTAL SERVICES, LLCAs reported in NPPES

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

Authorized official

Name

Dr. Lisa Beth Bienstock, DMDNPI 1053561035

Title

Ceo

Phone

(480) 922-3933

Specialties & licenses 1

Addresses

Other names 2

• Kids Dental Norterra Doing business as
• Kids Dental North Phoenix Doing business as

Locations

Practitioners 3

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.

• Lisa Beth Bienstock, D.M.D

  • Pediatric Dentistry
  • Phoenix, AZ
  • NPI 1053561035
  NPD (past) Authorized official
• Daniel Valmir Benvenuto Da Costa, DMD

  • Student in an Organized Health Care Education/Training Program
  • Phoenix, AZ
  • NPI 1508711516
  NPD (past)
• Julie Nguyen, DMD

  • Student in an Organized Health Care Education/Training Program
  • Phoenix, AZ
  • NPI 1215730577
  NPD (past)

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

{
    "created_epoch": "1772409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780963200000",
    "number": "1619822194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2460 W HAPPY VALLEY RD STE 1189",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850858511",
            "telephone_number": "602-833-2564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2460 W HAPPY VALLEY RD STE 1189",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850858511",
            "telephone_number": "602-833-2564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDS INTEGRATIVE NORTERRA DENTISTRY, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KIDS INTEGRATIVE DENTAL SERVICES, LLC",
        "enumeration_date": "2026-03-02",
        "last_updated": "2026-06-09",
        "certification_date": "2026-06-09",
        "status": "A",
        "authorized_official_last_name": "BIENSTOCK",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "BETH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "480-922-3933",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kids Dental Norterra",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Kids Dental North Phoenix",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kids Connection Pediatrics
• Kids Dental , P.C. (Kids Dental Place)
• Kids Dental Spot PLLC
• Kids First Therapy Arizona PLLC
• Kids Instruction for Developmental Services, LLC
• Kids Kare Pediatrics
• Kids Kare Pediatrics
• Kids Kare Pediatrics PC
• Kids Telespeech, PLLC
• Kids' Imaging in the Desert, PLLC

• Pediatric Dentistry in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Pediatric Dentistry in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2026; 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.