Felipe Vallorini Vivacqua, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

112205 Issued in CA

Practice address

2080 Century Park E Ste 1109
Los Angeles, CA 90067-2014

Phone

(310) 920-9126

NPI assigned

Aug 7, 2025

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Smiletech Modern Dentistry

  • Dental Clinic/Center
  • Los Angeles, CA
  • NPI 1174402648
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1754524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754524800000",
    "number": "1003791369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1441 S BEVERLY GLEN BLVD APT 324",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900246147",
            "telephone_number": "310-920-9126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2080 CENTURY PARK E STE 1109",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900672014",
            "telephone_number": "310-920-9126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALLORINI VIVACQUA",
        "first_name": "FELIPE",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-08-07",
        "last_updated": "2025-08-07",
        "certification_date": "2025-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "112205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Valley Star Behavioral Health, Inc.
• Valley Star Behavioral Health, Inc.
• Graham Valley
• Roxanne M Vallien, PA
• Viviana A Vallin
• Jessica A Valluzzi, PSY.D.
• Myrna C Valmeo, N.P.
• Carmelo Valone, MSW
• Valor Academy Middle School
• Katrina Valte

• Dentist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.