NPIMap

Organization Active NPI

Dalla DDS Inc

  • Dental Clinic/Center
  • Elk Grove, CA
National Provider Identifier
1801511357
Registry record updated Oct 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
DALLA DDS INC
Practice address
9098 Laguna Main St Ste 8
Elk Grove, CA 95758-7449
Phone
(916) 683-7300
NPI assigned
Oct 6, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2022

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

Authorized official

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

Specialties & licenses 1

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

Addresses

Primary practice location

9098 Laguna Main St Ste 8
Elk Grove, CA 95758-7449

Mailing address

9098 Laguna Main St Ste 8
Elk Grove, CA 95758-7449

Other names 1

  • laguna west dental care Doing business as

National Provider Directory

National Provider Directory

Locations

9098 Laguna Main St
Ste 8
Elk Grove, CA 95758
Phone (916) 683-7300

Practitioners & affiliated clinicians

Practitioners 4

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": "1665014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665014400000",
    "number": "1801511357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9098 LAGUNA MAIN ST STE 8",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957587449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9098 LAGUNA MAIN ST STE 8",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957587449",
            "telephone_number": "916-683-7300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DALLA DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-06",
        "last_updated": "2022-10-06",
        "certification_date": "2022-10-06",
        "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."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "laguna west dental care",
            "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 Oct 6, 2022; 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.