KIDS CARE DENTAL & ORTHODONTICS - MODESTO – NPI #1184255911
Clinic/Center

KIDS CARE DENTAL & ORTHODONTICS - MODESTO is an AHC clinic located in MODESTO, CA. NPPES has assigned the NPI number 1184255911 to KIDS CARE DENTAL & ORTHODONTICS - MODESTO on January 30, 2020. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “KIDS CARE DENTAL & ORTHODONTICS - MODESTO” is a dba name, the actual legal business name for this organization is REEVES, D.D.S. AND LAVALLEY, D.D.S., A DENTAL CORPORATION. The primary taxonomy selected by this provider is 261QD0000X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Dental

The NPI profile was previously updated about 3 years ago on Feb 09, 2023. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for KIDS CARE DENTAL & ORTHODONTICS - MODESTO below.

NPI Profile for
REEVES, D.D.S. AND LAVALLEY, D.D.S., A DENTAL CORPORATION

NPI Number
1184255911
Enumeration Date

(more than 6 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
REEVES, D.D.S. AND LAVALLEY, D.D.S., A DENTAL CORPORATION
Doing Business As (dba): KIDS CARE DENTAL & ORTHODONTICS - MODESTO
Primary location
3401 OAKDALE ROAD
SUITE 505
MODESTO, CA 95355
Phone: (844) 616-5437 Fax:
Mailing address
3100 ZINFANDEL DR STE 400
RANCHO CORDOVA, CA 95670-6391
Phone: Fax:
Organization Subpart
No
Authorized Official
TREVOR SMITH
CFO
Phone: (916) 444-5437
Updated
Certification Date
Feb 09, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QD0000X
- Clinic/Center / Dental (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.