Kids First Dentistry,Inc

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

DN13919 Issued in FL

Legal business name

KIDS FIRST DENTISTRY,INC

Practice address

4495 Roosevelt Blvd
Suite 111
Jacksonville, FL 32210-3375

Phone

(904) 423-1377

Fax

(904) 423-1958

NPI assigned

Sep 11, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Jila J Mahajan, DDSNPI 1780734251

Title

Ceo

Phone

(904) 423-1377

Specialties & licenses 1

Addresses

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Jila J.Mahajan, D.D.S.L.L.C

  • Pediatric Dentistry
  • Jacksonville, FL
  • NPI 1518369115
  NPPES parent name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jila J Mahajan, DDS

  • Pediatric Dentistry
  • Jacksonville, FL
  • NPI 1780734251
  NPD (past) Authorized official

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

{
    "created_epoch": "1378857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378857600000",
    "number": "1821423617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4495 ROOSEVELT BLVD",
            "address_2": "SUITE 111",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322103375",
            "telephone_number": "904-423-1377",
            "fax_number": "904-423-1958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4495 ROOSEVELT BLVD",
            "address_2": "SUITE 111",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322103375",
            "telephone_number": "904-423-1377",
            "fax_number": "904-423-1958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDS FIRST DENTISTRY,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-11",
        "last_updated": "2013-09-11",
        "status": "A",
        "authorized_official_last_name": "MAHAJAN",
        "authorized_official_first_name": "JILA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "904-423-1377",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "FL",
            "license": "DN13919",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cynthia Kiddey, APRN
• Kidney Clinic of Jacksonville, LLC
• Kidney Clinic of North Florida PLLC
• Kidney Kare of Jacksonville FL, Inc.
• Kids and Families Medical Clinic LLC
• Victor Kiebalo, MD
• John Michael Kiel, DO
• Katrina Kielbowicz, LMHC,LMFT
• Daniel John Kieleszewski, APRN
• Charles Kiely, LMT

• Pediatric Dentistry in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Pediatric Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2013; 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.