Active NPI
Viviene Valdez Dental Corporation
Doing business as Beverly Hills Pediatric Dentistry
- Pediatric Dentistry
- Beverly Hills, CA
National Provider Identifier
1164334884
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- 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 CORPORATION
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 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
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.