Canyon Ranch Dental Care Inc.

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

CANYON RANCH DENTAL CARE INC.

Practice address

120 W American Canyon Rd Ste M8
American Canyon, CA 94503-1181

Phone

(707) 557-9080

NPI assigned

Jun 16, 2026

Last updated

Jun 16, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Joanne Rivera, DDSNPI 1316091309

Title

Dentist

Phone

(408) 656-4567

Specialties & licenses 1

Addresses

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.

• Joanne P. Rivera, DDS

  • General Practice Dentistry
  • American Canyon, CA
  • NPI 1316091309
  NPD (past) Authorized official
• Portia Dela Vega Oblea, DMD

  • Dentist
  • San Jose, CA
  • NPI 1366645236
  NPD
• Magaly Ketron

  • General Practice Dentistry
  • American Canyon, CA
  • NPI 1396377834
  NPD (past)

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

{
    "created_epoch": "1781568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781568000000",
    "number": "1104751742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 W AMERICAN CANYON RD STE M8",
            "city": "AMERICAN CANYON",
            "state": "CA",
            "postal_code": "945031181",
            "telephone_number": "707-557-9080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 W AMERICAN CANYON RD STE M8",
            "city": "AMERICAN CANYON",
            "state": "CA",
            "postal_code": "945031181",
            "telephone_number": "707-557-9080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANYON RANCH DENTAL CARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-16",
        "last_updated": "2026-06-16",
        "certification_date": "2026-06-15",
        "status": "A",
        "authorized_official_last_name": "RIVERA",
        "authorized_official_first_name": "JOANNE",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "408-656-4567",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zachary Landus Booze, MD
• Pia Briones, DDS
• Cabugao DDS Inc (Encore at 32 Dental)
• Kevin James Cabugao, MBA, DDS
• California Dental Care, Nahreen Imam, DDS, Inc.
• Stephanie Doreen Carpersmith, CMT, CHT
• Joseph Carter
• Manju Marin Chacko, CCC - SLP
• Adrian Chavez
• Kristine Cheuk, DDS

• Dentist in American Canyon, CA
• Providers in American Canyon, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 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.