Organization Active NPI

Dalla Dental Group Roseville Inc.

  • Dentist
  • Roseville, CA
National Provider Identifier
1609737402
Registry record updated Nov 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
DALLA DENTAL GROUP ROSEVILLE INC.
Practice address
250 Gibson Dr # 100
Roseville, CA 95678-5881
Phone
(916) 975-2000
NPI assigned
Nov 20, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2025

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

Authorized official

Name
Dr. Devan Dalla, DDS
Title
President
Phone
(916) 975-2000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

250 Gibson Dr # 100
Roseville, CA 95678-5881

Mailing address

250 Gibson Dr # 100
Roseville, CA 95678-5881

National Provider Directory

National Provider Directory

Locations

250 Gibson Dr
Ste 100
Roseville, CA 95678
Phone (916) 975-2000

NPI Registry JSON

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

{
    "created_epoch": "1763596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763596800000",
    "number": "1609737402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 GIBSON DR # 100",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956785881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 GIBSON DR # 100",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956785881",
            "telephone_number": "916-975-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DALLA DENTAL GROUP ROSEVILLE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-20",
        "last_updated": "2025-11-20",
        "certification_date": "2025-11-20",
        "status": "A",
        "authorized_official_last_name": "DALLA",
        "authorized_official_first_name": "DEVAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "916-975-2000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Nov 20, 2025; 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.