NPIMap

Organization Active NPI

Reeves, D.D.S. and Lavalley, D.D.S., a Dental Corporation

Doing business as Kids Care Dentist Collective - Brentwood

  • Dental Clinic/Center
  • Brentwood, CA
National Provider Identifier
1881248854
Registry record updated Feb 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
REEVES, D.D.S. AND LAVALLEY, D.D.S., A DENTAL CORPORATION
Doing business as
Kids Care Dentist Collective - Brentwood
Practice address
2201 Balfour Rd Ste a
Brentwood, CA 94513-4927
Phone
(925) 308-7608
NPI assigned
Jul 29, 2019
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
Trevor Smith
Title
Cfo
Phone
(916) 444-5437

Specialties & licenses 1

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

Addresses

Primary practice location

2201 Balfour Rd Ste a
Brentwood, CA 94513-4927

Mailing address

3100 Zinfandel Dr Ste 400
Rancho Cordova, CA 95670-6391
Phone (323) 804-1471

Other names 1

  • Kids Care Dentist Collective - Brentwood Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Website

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

2201 Balfour Rd
Ste A
Brentwood, CA 94513
Phone (925) 308-7608

Practitioners & affiliated clinicians

Practitioners 3

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": "1564358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675900800000",
    "number": "1881248854",
    "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",
            "telephone_number": "323-804-1471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 BALFOUR RD STE A",
            "city": "BRENTWOOD",
            "state": "CA",
            "postal_code": "945134927",
            "telephone_number": "925-308-7608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REEVES, D.D.S. AND LAVALLEY, D.D.S., A DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-29",
        "last_updated": "2023-02-09",
        "certification_date": "2023-02-09",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "TREVOR",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "916-444-5437"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Website",
            "affiliation": "N",
            "address_1": "2201 Balfour Rd Ste A",
            "city": "Brentwood",
            "state": "CA",
            "country_code": "US",
            "postal_code": "945134927",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Kids Care Dentist Collective - Brentwood",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brentwood, 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.