Organization Active NPI

Corey R. Bafford, DMD, Inc.

Doing business as Gold River Dentistry

  • General Practice Dentistry
  • Gold River, CA
National Provider Identifier
1801687124
Registry record updated Jun 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
COREY R. BAFFORD, DMD, INC.
Doing business as
Gold River Dentistry
Practice address
2180 Golden Centre LN Ste 40
Gold River, CA 95670-4479
Phone
(916) 635-2100
NPI assigned
May 15, 2025
Last updated
Jun 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2025

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

Authorized official

Name
Dr. Corey Bafford, DMDNPI 1316782667
Title
President
Phone
(443) 910-1306

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
General Practice Dentistry 1223G0001X NU Primary

Addresses

Primary practice location

2180 Golden Centre LN Ste 40
Gold River, CA 95670-4479

Mailing address

2180 Golden Centre LN Ste 40
Gold River, CA 95670-4479
Phone (443) 910-1306

Other names 1

  • Gold River Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

2180 Golden Centre Ln
Ste 40
Gold River, CA 95670
Phone (443) 910-1306

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1747267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749600000000",
    "number": "1801687124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2180 GOLDEN CENTRE LN STE 40",
            "city": "GOLD RIVER",
            "state": "CA",
            "postal_code": "956704479",
            "telephone_number": "443-910-1306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2180 GOLDEN CENTRE LN STE 40",
            "city": "GOLD RIVER",
            "state": "CA",
            "postal_code": "956704479",
            "telephone_number": "916-635-2100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COREY R. BAFFORD, DMD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-15",
        "last_updated": "2025-06-11",
        "certification_date": "2025-06-11",
        "status": "A",
        "authorized_official_last_name": "BAFFORD",
        "authorized_official_first_name": "COREY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "443-910-1306",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gold River Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gold River, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 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.