Active NPI
Laura Concepcion
- Dentist
- Roseville, CA
National Provider Identifier
1376464842
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 113490
- Practice address
- 258 Gibson Dr Ste 110
Roseville, CA 95678-5882 - Phone
- (916) 630-7633
- NPI assigned
- Jul 22, 2026
- Last updated
- Sep 18, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 113490 | CA | Primary |
Addresses
Primary practice location
258 Gibson Dr Ste 110
Roseville, CA 95678-5882
Mailing address
1211 Leonhardt Loop
Lincoln, CA 95648-3350
Other practice location 1
1215 Plumas St Ste 52
Yuba City, CA 95991-3492
Phone (530) 671-1244
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1784678400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1789689600000",
"number": "1376464842",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1211 LEONHARDT LOOP",
"city": "LINCOLN",
"state": "CA",
"postal_code": "956483350"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "258 GIBSON DR STE 110",
"city": "ROSEVILLE",
"state": "CA",
"postal_code": "956785882",
"telephone_number": "916-630-7633"
}
],
"practiceLocations": [
{
"address_1": "1215 Plumas St Ste 52",
"address_purpose": "LOCATION",
"city": "Yuba City",
"state": "CA",
"postal_code": "959913492",
"country_code": "US",
"telephone_number": "530-671-1244",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CONCEPCION",
"first_name": "LAURA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-07-22",
"last_updated": "2026-09-18",
"certification_date": "2026-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "113490",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Roseville, CA
- Compassionate Home Health LTD
- Makenzie Compise
- Comprehensive Interventional Care Centers, PC
- Comprehensive Surgical Care of Roseville, LLC
- Audrey K Compton, PA-C
- Confidental Care
- Christine Ann Conklin, R.A.S.
- Taylor Conley-Lipka
- Jason P Conley, RPH
- Connected Healing Marriage and Family Counseling Corporation
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 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.