OrganizationActive
Tavallaei, D.M.D., Corporation
NPI 1134716939 · Dentist · Granite Bay, CA
Tavallaei, D.M.D., Corporation is a Dentist organization in Granite Bay, CA (NPI 1134716939).
Provider details
- NPI number
- 1134716939
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Megan Castillo, Operations Manager(916) 781-6550
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(63/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4060 Douglas Blvd Ste 110
Granite Bay, CA 95746-5934
Phone: (916) 260-0646
Street-level locationGet directions
Mailing address
2260 E Bidwell St # 313
Folsom, CA 95630-3555
Other names (DBA / former)
- Doing business as
- Make a Smile
Registry dates
- Enumerated
- 2020-12-28
- Last updated
- 2022-08-10
- Certified
- 2022-08-10
Frequently asked questions
- What is Tavallaei, D.M.D., Corporation's NPI number?
- Tavallaei, D.M.D., Corporation's National Provider Identifier (NPI) is 1134716939, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Tavallaei, D.M.D., Corporation?
- Tavallaei, D.M.D., Corporation is classified in the NPPES registry as Dentist (Dental Providers).
- Where is Tavallaei, D.M.D., Corporation located?
- Tavallaei, D.M.D., Corporation's practice location on file with NPPES is 4060 Douglas Blvd Ste 110, Granite Bay, CA 95746-5934.
- What is Tavallaei, D.M.D., Corporation's phone number?
- The practice phone number listed in the NPPES registry for Tavallaei, D.M.D., Corporation is (916) 260-0646.
- Who is the authorized official for Tavallaei, D.M.D., Corporation?
- The authorized official listed on Tavallaei, D.M.D., Corporation's NPPES record is Megan Castillo, Operations Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Tavallaei, D.M.D., Corporation's NPI active?
- Yes — Tavallaei, D.M.D., Corporation's NPI (1134716939) is active in the NPPES registry as of the last update on 2022-08-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.