1. Home
  2. Directory
  3. California
  4. Stockton
  5. Dentist
  6. NPI Profile

KIDS CARE DENTAL & ORTHODONTICS - STOCKTON
NPI 1104264985
Dentist - Pediatric Dentistry in Stockton, CA

Active since June 13, 2013
3485 BROOKSIDE RD, STE 101, STOCKTON, CA 95219(209) 957-4386 Get Directions Write a Review

NPPES record last updated: February 9, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 9, 2023, Jan 19, 2023, Feb 1, 2021 (3 updates tracked since 2021).

About Kids Care Dental & Orthodontics - Stockton NPPES

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

KIDS CARE DENTAL & ORTHODONTICS - STOCKTON (NPI 1104264985) is a healthcare organization registered as a pediatric dentistry in Stockton, California and active in the NPI registry since June 2013. The organization lists Derek Boyes, Coo, as its authorized official.

NPPES Registry Identity

NPI1104264985
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameREEVES, D.D.S. AND LAVALLEY, D.D.S., A DENTAL CORPORATION
Location Address3485 BROOKSIDE RD, STE 101Stockton, CA 95219-1757
Mailing Address3100 Zinfandel Dr Ste 400Rancho Cordova, CA 95670-6391 · (916) 570-1500
Phone(209) 957-4386
Organization SubpartNo
Authorized OfficialDerek BoyesCoo · (916) 570-1500
Enumeration DateJune 13, 2013
Last NPPES UpdateFebruary 9, 20233 updates tracked since enumeration
NPPES CertifiedFebruary 9, 2023
✔ NPI 1104264985 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
Definition
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.
Also ListedDentistTaxonomy 122300000X
Also ListedDentist · Oral and Maxillofacial SurgeryTaxonomy 1223S0112X
Also ListedDentist · Orthodontics and Dentofacial OrthopedicsTaxonomy 1223X0400X
3485 BROOKSIDE RD, Stockton, CA 95219
Open in Google Maps ↗

Other Names 1

Doing Business AsKids Care Dental & Orthodontics - Stockton

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

DR. DARIN K NAKAMURA D.D.S.
Dentist (General Practice)
3485 BROOKSIDE RD, SUITE 101
STOCKTON, CA 95219
San Joaquin County (209) 957-4386

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 Reeves, D.D.S. And Lavalley, D.D.S., A Dental Corporation's NPI number?

The NPI number for Reeves, D.D.S. And Lavalley, D.D.S., A Dental Corporation is 1104264985. It was assigned to this organization in the NPPES registry on June 13, 2013. The provider is doing business as Kids Care Dental & Orthodontics - Stockton.

Where is Reeves, D.D.S. And Lavalley, D.D.S., A Dental Corporation located?

Reeves, D.D.S. And Lavalley, D.D.S., A Dental Corporation is located at 3485 Brookside Rd Ste 101, Stockton, CA 95219. The listed phone number is (209) 957-4386.

What is Reeves, D.D.S. And Lavalley, D.D.S., A Dental Corporation's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

When was this NPI record last updated?

The NPPES record for Reeves, D.D.S. And Lavalley, D.D.S., A Dental Corporation was last updated on February 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.