Lodi Kids Dentist A Professional Dental Corporation

NPI: 1043143696

Lodi Kids Dentist A Professional Dental Corporation

Q: What is Lodi Kids Dentist A Professional Dental Corporation's provider type?

Lodi Kids Dentist A Professional Dental Corporation is an Organization under CMS NPI Type 2.

ActiveOrganizationDentistry

NPI issued: June 4, 2026

Quick Facts

NPI Number

1043143696

TypeOrganization

StatusActive

SpecialtyDentistry

Taxonomy1223X0400X — Dentistry

Phone

(209) 808-5439

StateCA

NPI Validation Status: Verified

✅Valid 10-digit NPI number (1043143696)

✅Active status confirmed

✅Verified by CMS NPPES Registry

✅HIPAA compliant identifier

✅Enumeration date on file (June 4, 2026)

Data source: CMS NPPES

Provider Overview

LODI KIDS DENTIST A PROFESSIONAL DENTAL CORPORATION is a Dentistry provider based in Lodi, CA who has been registered with CMS since 2026. They are affiliated with Lodi Kids Dentist A Professional Dental Corporation Dba Lodi Kidz Dentist. This NPI is currently Active under CMS NPPES registry.

Provider Details

NPI Number1043143696

Provider TypeOrganization

StatusActive

Enumeration DateJune 4, 2026

Practice Location

CityLodi

StateCA

ZIP Code95240-6051

Phone(209) 808-5439

Specialties & Licenses

★ Primary

SpecialtyDentistry

Taxonomy Code1223X0400X

License StateCA

Mailing Address

CityLodi

StateCA

ZIP Code95240-6051

Phone(209) 808-5439

Same as practice location

Hospital & Organization Affiliations

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Lodi Kids Dentist A Professional Dental Corporation Dba Lodi Kidz Dentist

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How to Use This NPI

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For Insurance Billing

Use NPI 1043143696 in Box 33 of the CMS-1500 claim form. This number is required by all major insurance carriers to identify the billing provider and process electronic medical claims.

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For Credentialing

Reference NPI 1043143696for provider credential verification. Hospital systems, state licensing boards, and CAQH directories query this number to verify the provider's active clinical status.

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For Patients

Share NPI 1043143696 with your insurance company. If you need to verify out-of-network benefits or file a reimbursement claim, your insurance provider will require this number to process it.

About Dentistry

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