REEVES, DDS AND LAVALLEY, DDS, A DENTAL CORPORATION (NPI# 1295171197) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295171197 |
| Entity Type | Organization |
| Organization Name | REEVES, DDS AND LAVALLEY, DDS, A DENTAL CORPORATION |
| Other Organization Name | KIDS CARE DENTAL GROUP - ROSEVILLE |
| Practice Address |
1230 Roseville Pkwy Ste 120 Roseville CA 95678-3586 |
| Mailing Address |
8950 Cal Center Dr Building 1, Ste 363 Sacramento CA 95826-3259 |
| Practice Telephone | 9164445437 |
| Mailing Telephone | 9165701500 |
| Mailing Fax Number | 9164692315 |
| Enumeration Date | 2013-05-17 |
| Last Update Date | 2013-05-31 |
| Authorized Official Name | MR. DEREK BOYES (C.O.O) |
| Authorized Official Telephone | 9165701500 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
Dental Providers | ||
| N | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers | ||
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
Dental Providers |
| Other Name | Type Code |
|---|---|
| Kids Care Dental Group - Roseville | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063893899 | Reeves, Dds and Lavalley, Dds, A Dental Corporation | Dentist | 115 Spreckels Ave, Manteca, CA 95336-6000 | 2015-06-17 |
| 1326431354 | Reeves, Dds and Lavalley, Dds, A Dental Corporation | Dentist | 196 Nut Tree Pkwy, Suite A, Vacaville, CA 95687-3237 | 2015-03-16 |
| 1508255928 | Reeves, Dds and Lavalley, Dds, A Dental Corporation | Dentist | 4555 Hopyard Rd, Suite C-19, Pleasanton, CA 94588-2771 | 2015-01-22 |
| 1851797203 | Reeves, Dds and Lavalley, Dds, A Dental Corporation | Dentist | 1361 S Lower Sacramento Rd, Ste #601, Lodi, CA 95242-9296 | 2014-11-12 |
| Street Address |
1230 ROSEVILLE PKWY STE 120 |
| City | ROSEVILLE |
| State | CA |
| Zip Code | 95678-3586 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114533064 | Alexander V. Antipov, D.d.s., Inc. | Dentist | 911 Reserve Drive, Suite 150, Roseville, CA 95678 | 2020-09-16 |
| 1396378980 | David F Shirley M D P C | Family Medicine | 4001 Impala Circle, Roseville, CA 95678 | 2020-02-21 |
| 1083256051 | Rosemary Ellen Robben | Community Health Worker | Cirby Wellness Center 101 Cirby Hills Drive, Roseville, CA 95678 | 2019-10-11 |
| 1588217236 | Kaiser Foundation Health Plan Inc | Pharmacy | 1021 Riverside Ave, Roseville, CA 95678 | 2019-07-22 |
| 1174093793 | Neftali Hernandez | Behavior Technician | 1100 Roseville Parkway Apt 1021, Roseville, CA 95678 | 2018-11-26 |
| 1467951798 | Amarantha Martinez | Behavior Technician | 1900 Quail Ridge Road, #99, Roseville, CA 95678 | 2018-02-01 |
| 1093231276 | Compassionate Home Health, Ltd | Home Health | 1100 Melody Lane, Suite 106, Roseville, CA 95678 | 2017-08-18 |
| 1629598891 | Jimena Andrade Martins | Behavior Technician | 602 Atkinson Street, Roseville, CA 95678 | 2017-06-20 |
| 1891221057 | Zride Inc | Taxi | 106 Church Street, Suite 2, Roseville, CA 95678 | 2017-05-10 |
| 1568997641 | Joline Trinh | Pharmacist | 1030 Pleasant Grove Boulevard, Roseville, CA 95678 | 2017-04-26 |
| Find all providers in zip 95678 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447884069 | Jocelyn M. Robelli Dds, Ms, Pllc | Dentist | 18245 E 10 Mile Rd Ste 110, Roseville, MI 48066-5807 | 2020-02-24 |
| 1205113859 | Richard Knight | Dentist | 2520 Douglas Blvd Ste 130, Roseville, CA 95661-3993 | 2011-11-10 |
| 1982890331 | Jack Lowell Moore | Dentist | 700 Sunrise Avenue, Suite C, Roseville, CA 95661-4561 | 2007-09-19 |
| 1780750539 | Dental Specialists of Minnesota, Pllc | Dentist | 1835 County Road C-west, Suite 200, Roseville, MN 55113-1343 | 2006-11-24 |
| 1366448524 | Linda Patricia Rafferty | Dentist | 2520 Douglas Blvd, Ste 130, Roseville, CA 95661-3993 | 2005-06-22 |
| 1295347805 | Kerri S. Gustafson, Dds, Pllc, Dentistry for Children | Dentist | 18245 E 10 Mile Rd Ste 110, Roseville, MI 48066-5807 | 2020-08-17 |
| 1033639463 | Crutchfield Pediatric Dental Group | Dentist | 1253 Pleasant Grove Blvd Ste 190, Roseville, CA 95678-6983 | 2017-06-27 |
| 1336696426 | Dmitriy Pivnik Dds Inc | Dentist | 721 Pleasant Grove Blvd Ste 150, Roseville, CA 95678-6181 | 2016-09-06 |
| 1275991721 | Dmitriy Pivnik | Dentist | 721 Pleasant Grove Blvd Ste 150, Roseville, CA 95678-6181 | 2016-01-29 |
| 1760710834 | Cassandra Krupansky | Dentist | 2520 Douglas Blvd, Suite 130, Roseville, CA 95661-3992 | 2009-11-30 |
| Find all providers in ROSEVILLE | ||||
Please comment or provide details below to improve the information on REEVES, DDS AND LAVALLEY, DDS, A DENTAL CORPORATION.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.