Organization Active NPI

Whitelock Dental Group, Inc.

  • General Practice Dentistry
  • Elk Grove, CA
National Provider Identifier
1952273443
Registry record updated Sep 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
WHITELOCK DENTAL GROUP, INC.
Practice address
10064 Bruceville Rd Ste 140
Elk Grove, CA 95757-9519
Phone
(916) 963-7261
Fax
(916) 512-8086
NPI assigned
Sep 23, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2025

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

Authorized official

Name
Inaksh Johal, DDS
Title
Owner
Phone
(916) 963-7261

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

10064 Bruceville Rd Ste 140
Elk Grove, CA 95757-9519

Mailing address

PO Box 660041
Dallas, TX 75266-0041
Phone (714) 845-8890

Other names 1

  • Whitelock Dental Group Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2341497Whitelock Dental Group10064 Bruceville Road, Ste 140, Elk Grove, CA 95757Certificate of waiverApr 1, 2028

National Provider Directory

National Provider Directory

Locations

10064 Bruceville Rd
Ste 140
Elk Grove, CA 95757
Phone (916) 963-7261

NPI Registry JSON

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

{
    "created_epoch": "1758585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758585600000",
    "number": "1952273443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 660041",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752660041",
            "telephone_number": "714-845-8890",
            "fax_number": "303-952-0892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10064 BRUCEVILLE RD STE 140",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957579519",
            "telephone_number": "916-963-7261",
            "fax_number": "916-512-8086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITELOCK DENTAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-23",
        "last_updated": "2025-09-23",
        "certification_date": "2025-09-23",
        "status": "A",
        "authorized_official_last_name": "JOHAL",
        "authorized_official_first_name": "INAKSH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "916-963-7261",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Whitelock Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Elk Grove, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.