NPIMap

Organization Active NPI

Reeves, DDS and Lavalley, DDS, a Dental Corporation

Doing business as Kids Care Dental & Orthodontics - Lodi

  • Dentist
  • Lodi, CA
National Provider Identifier
1851797203
Registry record updated Feb 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
REEVES, DDS AND LAVALLEY, DDS, A DENTAL CORPORATION
Doing business as
Kids Care Dental & Orthodontics - Lodi
Practice address
1361 S Lower Sacramento Rd
Ste #601
Lodi, CA 95242-9296
Phone
(916) 570-1500
NPI assigned
Nov 12, 2014
Last updated
Feb 9, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2023

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

Authorized official

Name
Derek Boyes
Title
C.O.O.
Phone
(916) 570-1500

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X Primary
Pediatric DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0221X
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223X0400X

Addresses

Primary practice location

1361 S Lower Sacramento Rd
Ste #601
Lodi, CA 95242-9296

Mailing address

3100 Zinfandel Dr Ste 400
Rancho Cordova, CA 95670-6391

Other names 1

  • Kids Care Dental & Orthodontics - Lodi Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Reeves DDS and Lavalley DDS a Dental Corporation34 organizations share this tax ID, including this one

Other organizations with this tax ID 33

Organizations that report the same tax identification number in the National Provider Directory.

View all 33

Locations

1361 S Lower Sacramento Rd
Ste 601
Lodi, CA 95242
Phone (209) 333-3350

3100 Zinfandel Dr
Ste 400
Rancho Cordova, CA 95670

NPI Registry JSON

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

{
    "created_epoch": "1415750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675900800000",
    "number": "1851797203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 ZINFANDEL DR STE 400",
            "city": "RANCHO CORDOVA",
            "state": "CA",
            "postal_code": "956706391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1361 S LOWER SACRAMENTO RD",
            "address_2": "STE #601",
            "city": "LODI",
            "state": "CA",
            "postal_code": "952429296",
            "telephone_number": "916-570-1500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REEVES, DDS AND LAVALLEY, DDS, A DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-12",
        "last_updated": "2023-02-09",
        "certification_date": "2023-02-09",
        "status": "A",
        "authorized_official_last_name": "BOYES",
        "authorized_official_first_name": "DEREK",
        "authorized_official_title_or_position": "C.O.O.",
        "authorized_official_telephone_number": "916-570-1500"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kids Care Dental & Orthodontics - Lodi",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lodi, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2023; 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.