NPIMap

Organization Active NPI

Reeves, D.D.S. and Lavalley, D.D.S., a Dental Corporation

  • Dental Clinic/Center
  • Stockton, CA
National Provider Identifier
1629627930
Registry record updated Sep 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
REEVES, D.D.S. AND LAVALLEY, D.D.S., A DENTAL CORPORATION
Practice address
5757 Pacific Ave Unit a-145
Stockton, CA 95207-5100
Phone
(844) 616-5437
NPI assigned
Sep 9, 2019
Last updated
Sep 9, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2019

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

Authorized official

Name
Trevor Smith
Title
Cfo
Phone
(916) 444-5437

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

5757 Pacific Ave Unit a-145
Stockton, CA 95207-5100

Mailing address

3100 Zinfandel Dr Ste 400
Rancho Cordova, CA 95670-6391

National Provider Directory

National Provider Directory
Tax ID family
Reeves DDS and Lavalley DDS a Dental Corporation34 organizations share this tax ID, including this one

Other organizations with this tax ID 33

Organizations that report the same tax identification number in the National Provider Directory.

View all 33

Locations

3100 Zinfandel Dr
Ste 400
Rancho Cordova, CA 95670

5757 Pacific Ave
Unit A145
Stockton, CA 95207

NPI Registry JSON

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

{
    "created_epoch": "1567987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1567987200000",
    "number": "1629627930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 ZINFANDEL DR STE 400",
            "city": "RANCHO CORDOVA",
            "state": "CA",
            "postal_code": "956706391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5757 PACIFIC AVE UNIT A-145",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952075100",
            "telephone_number": "844-616-5437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REEVES, D.D.S. AND LAVALLEY, D.D.S., A DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-09",
        "last_updated": "2019-09-09",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "TREVOR",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "916-444-5437"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Sep 9, 2019; 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.