SMILE TIME DENTAL
NPI 1578724928
Dentist - General Practice in Folsom, CA

NPI Status: Active since June 18, 2008

Contact Information

2260 E BIDWELL ST
SUITE 110
FOLSOM, CA
ZIP 95630
Phone: (916) 984-4224
Fax: (916) 984-4248

Get Directions Write a Review

  • Organization
  • Dentist
  • General Practice
  • CLIA Number: 05D2238270
  • CLIA Cert. Type: Practitioner Other
  • CLIA Exp. Date: 09-30-2025

About SMILE TIME DENTAL

This page provides the complete NPI Profile along with additional information for Smile Time Dental, a provider established in Folsom, California operating as a Dentist, focusing in general practice . The healthcare provider is registered in the NPI registry with number 1578724928 assigned on June 2008. The practitioner's primary taxonomy code is 1223G0001X with license number 48036 (CA). The provider is registered as an organization and their NPI record was last updated 14 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The provider's is doing business as Smile Time Dental. The authorized official of this NPI record is Dr. Monica Tavallaei D.m.d. (Owner)

NPI
1578724928
Provider Legal Name
M. TAVALLAEI, DMD,INC.
Other Organization Name
SMILE TIME DENTAL
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
2260 E BIDWELL ST SUITE 110 FOLSOM, CA 95630
Location Phone
(916) 984-4224
Location Fax
(916) 984-4248
Mailing Address
2260 E BIDWELL ST SUITE 301 FOLSOM, CA 95630
Mailing Phone
(916) 984-4224
Mailing Fax
(916) 984-4248
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-18-2008
Last Update Date
06-18-2012
Code Navigator

A dentist like Smile Time Dental is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Dentist General Practice

Taxonomy Code
1223G0001X
Type
Dental Providers
License No.
48036
License State
CA
Taxonomy Description
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. MONICA TAVALLAEI D.M.D.

Authorized Official Title
OWNER
Authorized Official Phone
(916) 984-4224

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
05D2238270
Facility Type
Practitioner Other
Certificate Effective Date
October 01, 2023
Certificate Expiration Date
September 30, 2025
Laboratory Director
AFSHIN ARYA
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Smile Time Dental to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for SMILE TIME DENTAL

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1578724928, we treat the final digit (8) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 72. The final step is to find the difference between that total and the next multiple of ten (80 - 72 = 8).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
5
Unchanged
Pos 3
7
Doubled → 14 → 1 + 4
Pos 4
8
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
2
Unchanged
Pos 7
4
Doubled → 8
Pos 8
9
Unchanged
Pos 9
2
Doubled → 4
Check
8
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 7 → 14 → 5 7 → 14 → 5 4 → 8 2 → 4

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 5 + 1 + 4 + 8 + 1 + 4 + 2 + 8 + 9 + 4 + 24 = 72

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 72 is 80. The difference is the calculated check digit.

80 - 72 = 8
This NPI is valid
The calculated check digit is 8, which matches the last digit of 1578724928.

Other Providers at the Same Location


The following 3 providers are registered at the same or a nearby location.

Chiropractor
2260 E BIDWELL ST, STE 108
FOLSOM, CA 95630
Dentist
2260 E BIDWELL ST, # 110
FOLSOM, CA 95630
Dentist (Pediatric Dentistry)
2260 E BIDWELL ST, SUITE 305
FOLSOM, CA 95630

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1578724928, enumerated as an "organization" on June 18, 2008.

The provider is located at 2260 E BIDWELL ST SUITE 110 FOLSOM, CA 95630 and the phone number is (916) 984-4224.

Dentist with taxonomy code 1223G0001X and a focus in General Practice.