OrganizationActive
Tavallaei, D.M.D., Corporation
NPI 1538225503 · Pediatric Dentistry · Folsom, CA
Tavallaei, D.M.D., Corporation is a Pediatric Dentistry organization in Folsom, CA (NPI 1538225503).
Provider details
- NPI number
- 1538225503
- Entity type
- Organization
- Primary specialty
- Pediatric DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Monica Tavallaei, Owner(916) 984-0304
- License
- 48036 (CA)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
2190 E. Bidwell St.
Folsom, CA 95630
Phone: (916) 984-0304
Fax: (916) 983-9012
Street-level locationGet directions
Mailing address
2190 E. Bidwell St.
Folsom, CA 95630
Other names (DBA / former)
- Doing business as
- Make a Smile
Registry dates
- Enumerated
- 2006-12-28
- Last updated
- 2022-08-04
- Certified
- 2022-08-04
Frequently asked questions
- What is Tavallaei, D.M.D., Corporation's NPI number?
- Tavallaei, D.M.D., Corporation's National Provider Identifier (NPI) is 1538225503, 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 Pediatric Dentistry (Dental Providers).
- Where is Tavallaei, D.M.D., Corporation located?
- Tavallaei, D.M.D., Corporation's practice location on file with NPPES is 2190 E. Bidwell St., Folsom, CA 95630.
- 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) 984-0304.
- 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 Monica Tavallaei, Owner. 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 (1538225503) is active in the NPPES registry as of the last update on 2022-08-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.