NPIMap

Organization Active NPI

Aaron Reeves, Reeves Specialty Dental Corporation

  • Pediatric Dentistry
  • Elk Grove, CA
National Provider Identifier
1215528112
Registry record updated Feb 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
AARON REEVES, REEVES SPECIALTY DENTAL CORPORATION
Practice address
9565 Laguna Springs Dr
Elk Grove, CA 95758-7961
Phone
(916) 689-7837
NPI assigned
Feb 2, 2021
Last updated
Feb 2, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
AARON REEVES, REEVES DENTAL CORPORATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 2, 2021

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

Authorized official

Name
Derek Boyes
Title
Business Manager
Phone
(530) 263-2454

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0221X Primary

Addresses

Primary practice location

9565 Laguna Springs Dr
Elk Grove, CA 95758-7961

Mailing address

9323 Laguna Springs Dr Ste 100
Elk Grove, CA 95758-7839
Phone (916) 689-7837

National Provider Directory

National Provider Directory
Tax ID family
Aaron Reeves Reeves Specialty Dental Corporation5 organizations share this tax ID, including this one
Part of
Aaron Reeves Reeves Specialty Dental Corporation

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1612224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612224000000",
    "number": "1215528112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9323 LAGUNA SPRINGS DR STE 100",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957587839",
            "telephone_number": "916-689-7837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9565 LAGUNA SPRINGS DR",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957587961",
            "telephone_number": "916-689-7837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AARON REEVES, REEVES SPECIALTY DENTAL CORPORATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AARON REEVES, REEVES DENTAL CORPORATION",
        "enumeration_date": "2021-02-02",
        "last_updated": "2021-02-02",
        "certification_date": "2021-02-02",
        "status": "A",
        "authorized_official_last_name": "BOYES",
        "authorized_official_first_name": "DEREK",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "530-263-2454"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elk Grove, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2021; 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.