Organization Active NPI

Viviene Valdez Dental Corporation

Doing business as Beverly Hills Pediatric Dentistry

  • Pediatric Dentistry
  • Beverly Hills, CA
National Provider Identifier
1164334884
Registry record updated Sep 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
VIVIENE VALDEZ DENTAL CORPORATION
Doing business as
Beverly Hills Pediatric Dentistry
Practice address
414 N Camden Dr Ste 675
Beverly Hills, CA 90210-4518
Phone
(916) 702-1213
NPI assigned
Sep 18, 2026
Organization subpart
Yes
Parent organization
VIVIENE VALDEZ DENTAL CORPORATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 18, 2026

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

Authorized official

Name
Ayren Engelhardt
Title
Dir of Process Dev
Phone
(916) 702-1213

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X Primary

Addresses

Primary practice location

414 N Camden Dr Ste 675
Beverly Hills, CA 90210-4518

Mailing address

3075 Beacon Blvd
West Sacramento, CA 95691-3462

Other names 1

  • Beverly Hills Pediatric Dentistry Doing business as

NPI Registry JSON

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

{
    "created_epoch": "1789689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789689600000",
    "number": "1164334884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3075 BEACON BLVD",
            "city": "WEST SACRAMENTO",
            "state": "CA",
            "postal_code": "956913462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "414 N CAMDEN DR STE 675",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902104518",
            "telephone_number": "916-702-1213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIVIENE VALDEZ DENTAL CORPORATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "VIVIENE VALDEZ DENTAL CORPORATION",
        "enumeration_date": "2026-09-18",
        "last_updated": "2026-09-18",
        "certification_date": "2026-09-18",
        "status": "A",
        "authorized_official_last_name": "ENGELHARDT",
        "authorized_official_first_name": "AYREN",
        "authorized_official_title_or_position": "DIR OF PROCESS DEV",
        "authorized_official_telephone_number": "916-702-1213"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Beverly Hills Pediatric Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Beverly Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.