NPIMap

Organization Active NPI

Reeves, DMD, Inc

Doing business as Kids Care Dental Group of Stockton

  • General Practice Dentistry
  • Stockton, CA
National Provider Identifier
1386763852
Registry record updated Feb 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
47785 Issued in CA
Legal business name
REEVES, DMD, INC
Doing business as
Kids Care Dental Group of Stockton
Practice address
3485 Brookside Road
Suite 101
Stockton, CA 95219
Phone
(209) 957-4386
NPI assigned
Mar 28, 2007
Last updated
Feb 12, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2013

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

Authorized official

Name
Aaron Reeves, DMDNPI 1326166711
Title
President
Phone
(916) 683-7645

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 47785 CA Primary

Addresses

Primary practice location

3485 Brookside Road
Suite 101
Stockton, CA 95219

Mailing address

3485 Brookside Road
Suite 101
Stockton, CA 95219
Phone (209) 957-4386

Other names 1

  • Kids Care Dental Group of Stockton Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360627200000",
    "number": "1386763852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3485 BROOKSIDE ROAD",
            "address_2": "SUITE 101",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "95219",
            "telephone_number": "209-957-4386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3485 BROOKSIDE ROAD",
            "address_2": "SUITE 101",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "95219",
            "telephone_number": "209-957-4386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REEVES, DMD, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-28",
        "last_updated": "2013-02-12",
        "status": "A",
        "authorized_official_last_name": "REEVES",
        "authorized_official_first_name": "AARON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "916-683-7645",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "47785",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kids Care Dental Group of Stockton",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Feb 12, 2013; 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.