Springfield Kids Dentist, LLC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

SPRINGFIELD KIDS DENTIST, LLC

Practice address

1512 Allen St
Springfield, MA 01118-1817

Phone

(413) 295-1600

Fax

(413) 295-1610

NPI assigned

Mar 14, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Nidhi Agarwal, DMDNPI 1427369883

Title

Owner

Phone

(857) 284-6358

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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.

• Nidhi Agarwal, DMD

  • Pediatric Dentistry
  • Shrewsbury, MA
  • NPI 1427369883
  Authorized official Same address or phone
• Gursimran Singh Ahluwalia, DMD

  • Pediatric Dentistry
  • Groton, MA
  • NPI 1942511191
  NPD

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

{
    "created_epoch": "1710374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710374400000",
    "number": "1851150866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 WILLOW WOODS DR",
            "city": "SHREWSBURY",
            "state": "MA",
            "postal_code": "015456043",
            "telephone_number": "857-284-6358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1512 ALLEN ST",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011181817",
            "telephone_number": "413-295-1600",
            "fax_number": "413-295-1610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPRINGFIELD KIDS DENTIST, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-14",
        "last_updated": "2024-03-14",
        "certification_date": "2024-03-13",
        "status": "A",
        "authorized_official_last_name": "AGARWAL",
        "authorized_official_first_name": "NIDHI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "857-284-6358",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Springfield Family Pharmacy, Inc
• Springfield Family Practice, Inc
• Springfield Hospital LLC (Park View Rehabilitation and Nursing Center)
• Springfield International Health Center
• Springfield International Health Center, PC
• Springfield Medical Associates, Inc
• Springfield Medical LLC
• Springfield Neurology Associates, LLC
• Springfield Park View Hospital, LLC (d/b/a Kindred Hospital Park View)
• Springfield Pediatrics LLC

• Pediatric Dentistry in Springfield, MA
• Providers in Springfield, MA by specialty
• Pediatric Dentistry in Massachusetts

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