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VISALIA CHILDREN'S DENTAL SURGERY CENTER INC
NPI 1053643783
Clinic/Center - Ambulatory Surgical in Visalia, CA

Active since February 05, 2010CLIA 05D2329316 · Waiver
136 ASPEN COURT, SUITE A, VISALIA, CA 93291(559) 625-9300(559) 625-9330 Get Directions Write a Review

NPPES record last updated: January 27, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Visalia Children's Dental Surgery Center Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

VISALIA CHILDREN'S DENTAL SURGERY CENTER INC (NPI 1053643783) is a healthcare organization registered as an ambulatory surgical in Visalia, California and active in the NPI registry since February 2010. The organization holds a CLIA Waiver certificate valid through August 25, 2027 and lists Devin Larsen, Ceo, as its authorized official.

NPPES Registry Identity

NPI1053643783
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameVISALIA CHILDREN'S DENTAL SURGERY CENTER INC
Location Address136 ASPEN COURT, SUITE AVisalia, CA 93291
Mailing Address9709 Lakeside Blvd Ste 350Spring, TX 77381-1213 · (713) 489-2198 · Fax (713) 489-2978
Phone(559) 625-9300
Fax(559) 625-9330
Organization SubpartNo
Authorized OfficialDevin LarsenCeo · (208) 340-1840
Enumeration DateFebruary 5, 2010
Last NPPES UpdateJanuary 27, 2025
NPPES CertifiedJanuary 27, 2025
✔ NPI 1053643783 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
License✔ Licensed in CA · 23135
136 ASPEN COURT, Visalia, CA 93291
Open in Google Maps ↗

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2329316

Visalia Children's Dental Surgery Center, Inc · Visalia, CA
Active · expires Aug 25, 2027
CLIA Number05D2329316
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateAugust 26, 2025
Certificate Expiration DateAugust 25, 2027
Laboratory DirectorHasandeep Mann
Laboratory Phone(559) 625-9300
Laboratory LocationVisalia Children's Dental Surgery Center, Inc136 S Aspen St Ste A, Visalia, CA 93291
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHARLES S. RICKS
Clinic/Center (Dental)
136 ASPEN COURT, SUITE B
VISALIA, CA 93291
Tulare County (559) 625-9300

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Visalia Children's Dental Surgery Center Inc's NPI number?

The NPI number for Visalia Children's Dental Surgery Center Inc is 1053643783. It was assigned to this organization in the NPPES registry on February 5, 2010.

Where is Visalia Children's Dental Surgery Center Inc located?

Visalia Children's Dental Surgery Center Inc is located at 136 Aspen Court Suite A, Visalia, CA 93291. The listed phone number is (559) 625-9300.

What is Visalia Children's Dental Surgery Center Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Does Visalia Children's Dental Surgery Center Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2329316) is associated with this NPI, valid through August 25, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Visalia Children's Dental Surgery Center Inc was last updated on January 27, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.