NPIMap

Organization Active NPI

Devan Dalla DDS Inc

  • Dentist
  • Napa, CA
National Provider Identifier
1619324191
Registry record updated May 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
63130 Issued in CA
Legal business name
DEVAN DALLA DDS INC
Practice address
2119 Jefferson St
Napa, CA 94559-1211
Phone
(707) 257-2400
NPI assigned
May 16, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2016

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
(646) 427-6519

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 63130 CA Primary

Addresses

Primary practice location

2119 Jefferson St
Napa, CA 94559-1211

Mailing address

2119 Jefferson St
Napa, CA 94559-1211

Other names 1

  • NAPA VALLEY DENTAL GROUP Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1463356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463356800000",
    "number": "1619324191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2119 JEFFERSON ST",
            "city": "NAPA",
            "state": "CA",
            "postal_code": "945591211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2119 JEFFERSON ST",
            "city": "NAPA",
            "state": "CA",
            "postal_code": "945591211",
            "telephone_number": "707-257-2400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEVAN DALLA DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-16",
        "last_updated": "2016-05-16",
        "status": "A",
        "authorized_official_last_name": "DALLA",
        "authorized_official_first_name": "DEVAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "646-427-6519",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "63130",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NAPA VALLEY DENTAL GROUP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Napa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2016; 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.