Lauren Collins Gaddis, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

110585 Issued in CA

Practice address

4022 Sunrise Blvd Ste 160
Rancho Cordova, CA 95742-6908

Phone

(916) 246-1108

NPI assigned

Aug 19, 2024

Last updated

Aug 19, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mokbil Dental Corporation

  dba Rancho Cordova Smiles Dentistry Dental Group

  • Dentist
  • Rancho Cordova, CA
  • NPI 1588185516
  NPD (past)

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

{
    "created_epoch": "1724025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724025600000",
    "number": "1811729742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3175 DATA DR APT 3310",
            "city": "RANCHO CORDOVA",
            "state": "CA",
            "postal_code": "956706456",
            "telephone_number": "916-990-6821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4022 SUNRISE BLVD STE 160",
            "city": "RANCHO CORDOVA",
            "state": "CA",
            "postal_code": "957426908",
            "telephone_number": "916-246-1108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GADDIS",
        "first_name": "LAUREN",
        "middle_name": "COLLINS",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-19",
        "last_updated": "2024-08-19",
        "certification_date": "2024-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "110585",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kikuko Yamanaka Freeman, PT
• Shanya Freeman
• Steven W Friend, MD
• Magdalene Fry
• Tilia Fu
• Victoria Galicia
• Nancy Gamroth
• Anayeli Cuamani Garcia
• Cindy Rachel Garcia
• Marisol Garcia

• General Practice Dentistry in Rancho Cordova, CA
• Providers in Rancho Cordova, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.