David R. Datwyler, D.D.S., a Professional Corporation

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

Legal business name

DAVID R. DATWYLER, D.D.S., A PROFESSIONAL CORPORATION

Practice address

3903 Park Dr
El Dorado Hills, CA 95762-4561

Phone

(916) 260-5213

NPI assigned

Oct 7, 2024

Organization subpart

No

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

Authorized official

Name

Aleta Beuter

Title

Credentialing Specialist

Phone

(775) 409-4614

Specialties & licenses 1

Addresses

Other names 1

• Datwyler Orthodontics Doing business as

Locations

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

{
    "created_epoch": "1728259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728259200000",
    "number": "1841019809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3605 GRANT DR",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895095301",
            "telephone_number": "775-409-4614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3903 PARK DR",
            "city": "EL DORADO HILLS",
            "state": "CA",
            "postal_code": "957624561",
            "telephone_number": "916-260-5213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID R. DATWYLER, D.D.S., A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-07",
        "last_updated": "2024-10-07",
        "certification_date": "2024-10-07",
        "status": "A",
        "authorized_official_last_name": "BEUTER",
        "authorized_official_first_name": "ALETA",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "775-409-4614"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Datwyler Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jared Gareth Danielson, DDS
• Kristi Thuy Trang Dao, PHARMD
• David R. Datwyler, DDS
• Jennifer Renee Datwyler, DMD
• David Koehn D. D. S. Inc.
• Jeffrey L Davidson, D.D.S.
• Kathryn Scott Davis, MSPT, DPT
• Richard Davis III, BCBA
• Emily Dawes, LMFT
• Shirelyn Day

• Orthodontics and Dentofacial Orthopedics Dentistry in El Dorado Hills, CA
• Providers in El Dorado Hills, CA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2024; 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.