NPIMap

Organization Active NPI

Dalla Dental Group

  • Dentist
  • Elk Grove, CA
National Provider Identifier
1700335932
Registry record updated Sep 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
63130 Issued in CA
Legal business name
DALLA DENTAL GROUP
Doing business as
ORA DENTISTRY
Practice address
2733 Elk Grove Blvd
Suite 180
Elk Grove, CA 95758-7165
Phone
(916) 975-1000
NPI assigned
Sep 29, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2016

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

Authorized official

Name
Dr. Devan Dalla, DDSNPI 1649610536
Title
President
Phone
(646) 427-6519

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

2733 Elk Grove Blvd
Suite 180
Elk Grove, CA 95758-7165

Mailing address

2733 Elk Grove Blvd
Suite 180
Elk Grove, CA 95758-7165
Phone (916) 975-1000

Other names 1

  • ORA DENTISTRY Doing business as

National Provider Directory

National Provider Directory

Locations

2733 Elk Grove Blvd
Ste 180
Elk Grove, CA 95758
Phone (832) 800-8880

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1475107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475107200000",
    "number": "1700335932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2733 ELK GROVE BLVD",
            "address_2": "SUITE 180",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957587165",
            "telephone_number": "916-975-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2733 ELK GROVE BLVD",
            "address_2": "SUITE 180",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957587165",
            "telephone_number": "916-975-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DALLA DENTAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-29",
        "last_updated": "2016-09-29",
        "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": "ORA DENTISTRY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Elk Grove, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 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.