Organization Active NPI

Smiletech Modern Dentistry

  • Dental Clinic/Center
  • Los Angeles, CA
National Provider Identifier
1174402648
Registry record updated Aug 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
SMILETECH MODERN DENTISTRY
Practice address
2080 Century Park E Ste 1109
Los Angeles, CA 90067-2014
Phone
(310) 920-9126
NPI assigned
Aug 29, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2025

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

Authorized official

Name
Dr. Felipe Vallorini Vivacqua, DDSNPI 1003791369
Title
Dentist/Owner
Phone
(310) 920-9126

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

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

Mailing address

2080 Century Park E Ste 1109
Los Angeles, CA 90067-2014
Phone (310) 920-9126

National Provider Directory

National Provider Directory

Locations

2080 Century Park E
Ste 1109
Los Angeles, CA 90067
Phone (310) 882-7882

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1756425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756425600000",
    "number": "1174402648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2080 CENTURY PARK E STE 1109",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900672014",
            "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": {
        "organization_name": "SMILETECH MODERN DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-29",
        "last_updated": "2025-08-29",
        "certification_date": "2025-08-29",
        "status": "A",
        "authorized_official_last_name": "VALLORINI VIVACQUA",
        "authorized_official_first_name": "FELIPE",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "310-920-9126",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 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.