OrganizationActive
Diamond Springs Dental
NPI 1235377623 · Dentist · Diamond Springs, CA
Diamond Springs Dental is a Dentist organization in Diamond Springs, CA (NPI 1235377623).
Provider details
- NPI number
- 1235377623
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Mitchell Goodis, Dentist(530) 344-0290
- License
- D43010 (CA)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(86/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 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
540 Main Street
Ste. 102 Post Office Box 500
Diamond Springs, CA 95619-0500
Phone: (530) 344-0290
Fax: (530) 344-0291
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 500
Diamond Springs, CA 95619-0500
Other names (DBA / former)
- Former legal business name
- Pleasant Valley Dental, General Dental Practice of Mitchell A. Goodis,
Registry dates
- Enumerated
- 2009-01-23
- Last updated
- 2010-10-04
Frequently asked questions
- What is Diamond Springs Dental's NPI number?
- Diamond Springs Dental's National Provider Identifier (NPI) is 1235377623, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Diamond Springs Dental?
- Diamond Springs Dental is classified in the NPPES registry as Dentist (Dental Providers).
- Where is Diamond Springs Dental located?
- Diamond Springs Dental's practice location on file with NPPES is 540 Main Street, Diamond Springs, CA 95619-0500.
- What is Diamond Springs Dental's phone number?
- The practice phone number listed in the NPPES registry for Diamond Springs Dental is (530) 344-0290.
- Who is the authorized official for Diamond Springs Dental?
- The authorized official listed on Diamond Springs Dental's NPPES record is Mitchell Goodis, Dentist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Diamond Springs Dental's NPI active?
- Yes — Diamond Springs Dental's NPI (1235377623) is active in the NPPES registry as of the last update on 2010-10-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.