NPIMap

Organization Active NPI

Reeves, D.D.S. and Lavalley, D.D.S., a Dental Corporation

  • Dental Clinic/Center
  • Stockton, CA
National Provider Identifier
1326678368
Registry record updated Jan 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
REEVES, D.D.S. AND LAVALLEY, D.D.S., A DENTAL CORPORATION
Practice address
3499 Brookside Rd Ste F
Stockton, CA 95219-1784
Phone
(844) 311-0073
NPI assigned
Jan 17, 2020
Last updated
Jan 17, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2020

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

Authorized official

Name
Trevor Smith
Title
Cfo
Phone
(916) 340-1075

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

3499 Brookside Rd Ste F
Stockton, CA 95219-1784

Mailing address

3100 Zinfandel Dr Ste 400
Rancho Cordova, CA 95670-6391

Other practice location 1

2221 Balfour Rd Ste D
Brentwood, CA 94513-4932
Phone (844) 311-0073

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

3499 Brookside Rd
Ste F
Stockton, CA 95219
Phone (916) 288-0578

NPI Registry JSON

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

{
    "created_epoch": "1579219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579219200000",
    "number": "1326678368",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3499 BROOKSIDE RD STE F",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952191784",
            "telephone_number": "844-311-0073"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2221 Balfour Rd Ste D",
            "address_purpose": "LOCATION",
            "city": "Brentwood",
            "state": "CA",
            "postal_code": "945134932",
            "country_code": "US",
            "telephone_number": "844-311-0073",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "REEVES, D.D.S. AND LAVALLEY, D.D.S., A DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-17",
        "last_updated": "2020-01-17",
        "certification_date": "2020-01-17",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "TREVOR",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "916-340-1075"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stockton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2020; 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.