Individual provider Active NPI

Sheetal S Padval, DDS

  • General Practice Dentistry
  • Sacramento, CA
National Provider Identifier
1568919660
Registry record updated Jun 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
100809 Issued in CA
Practice address
2711 Watt Ave
Sacramento, CA 95821-6235
Phone
(916) 483-5900
NPI assigned
Sep 6, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 100809 CA Primary

Addresses

Primary practice location

2711 Watt Ave
Sacramento, CA 95821-6235

Mailing address

2711 Watt Ave
Sacramento, CA 95821-6235
Phone (916) 483-5900

Other practice location 1

10350 Coloma Rd
Rancho Cordova, CA 95670-2106
Phone (916) 362-9247

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

State licenses

LicenseStateTypeSpecialty
100809CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Sheetal Padval DDS Inc CurrentSince May 28, 2023 Accepting new patients
Gugale & Azouz Dental Group of Placerville, Inc General Practice Past Accepting new patients
Soltani Dental Group PastSince Mar 28, 2021 Accepting new patients
American River Dental Past Accepting new patients
Diamond Dental General Practice PastSince Jun 18, 2023 Accepting new patients

Locations

2711 Watt Ave
Sacramento, CA 95821
Phone (916) 483-5900

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1473120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686441600000",
    "number": "1568919660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2711 WATT AVE",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958216235",
            "telephone_number": "916-483-5900",
            "fax_number": "916-483-5905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2711 WATT AVE",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958216235",
            "telephone_number": "916-483-5900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10350 Coloma Rd",
            "address_purpose": "LOCATION",
            "city": "Rancho Cordova",
            "state": "CA",
            "postal_code": "956702106",
            "country_code": "US",
            "telephone_number": "916-362-9247",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PADVAL",
        "first_name": "SHEETAL",
        "middle_name": "S",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-06",
        "last_updated": "2023-06-11",
        "certification_date": "2023-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "100809",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 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.