NPIMap

Organization Active NPI

Reeves, DDS and Lavalley, DDS, a Dental Corporation

Doing business as Kids Care Dental & Orthodontics - Roseville

  • Pediatric Dentistry
  • Roseville, CA
National Provider Identifier
1295171197
Registry record updated Feb 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
REEVES, DDS AND LAVALLEY, DDS, A DENTAL CORPORATION
Doing business as
Kids Care Dental & Orthodontics - Roseville
Practice address
1230 Roseville Pkwy
Ste 120
Roseville, CA 95678-3586
Phone
(916) 444-5437
NPI assigned
May 17, 2013
Last updated
Feb 9, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2023

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

Authorized official

Name
Mr. Derek Boyes
Title
C.O.O
Phone
(916) 570-1500

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X NU
Pediatric Dentistry 1223P0221X NU Primary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X NU

Addresses

Primary practice location

1230 Roseville Pkwy
Ste 120
Roseville, CA 95678-3586

Mailing address

3100 Zinfandel Dr Ste 400
Rancho Cordova, CA 95670-6391
Phone (916) 570-1500

Other names 1

  • Kids Care Dental & Orthodontics - Roseville Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Reeves DDS and Lavalley DDS a Dental Corporation34 organizations share this tax ID, including this one

Other organizations with this tax ID 33

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

View all 33

Locations

1230 Roseville Pkwy
Ste 120
Roseville, CA 95678
Phone (916) 444-5437

NPI Registry JSON

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

{
    "created_epoch": "1368748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675900800000",
    "number": "1295171197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 ZINFANDEL DR STE 400",
            "city": "RANCHO CORDOVA",
            "state": "CA",
            "postal_code": "956706391",
            "telephone_number": "916-570-1500",
            "fax_number": "916-469-2315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1230 ROSEVILLE PKWY",
            "address_2": "STE 120",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956783586",
            "telephone_number": "916-444-5437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REEVES, DDS AND LAVALLEY, DDS, A DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-17",
        "last_updated": "2023-02-09",
        "certification_date": "2023-02-09",
        "status": "A",
        "authorized_official_last_name": "BOYES",
        "authorized_official_first_name": "DEREK",
        "authorized_official_title_or_position": "C.O.O",
        "authorized_official_telephone_number": "916-570-1500",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kids Care Dental & Orthodontics - Roseville",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Roseville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2023; 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.