Carolyn R Baldiviez, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

43290 Issued in CA

Practice address

111 E Park Ave
Santa Maria, CA 93454-6625

Phone

(805) 925-8112

Fax

(805) 347-7703

NPI assigned

Jul 6, 2006

Last updated

May 4, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Carolyn R Baldiviez D D S Inc

  • Dentist
  • Santa Maria, CA
  • NPI 1265985642
  NPD Authorized official
• Dr Carolyn R Baldiviez Dental Corporation

  • General Practice Dentistry
  • Santa Maria, CA
  • NPI 1639016959
  NPD Authorized official

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777852800000",
    "number": "1225069172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 E PARK AVE",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934546625",
            "telephone_number": "805-925-8112",
            "fax_number": "805-347-7703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 E PARK AVE",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934546625",
            "telephone_number": "805-925-8112",
            "fax_number": "805-347-7703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALDIVIEZ",
        "first_name": "CAROLYN",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-06",
        "last_updated": "2026-05-04",
        "certification_date": "2026-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "43290",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "43290",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natalie Ann Bakke
• Kyrin Baklund, BS
• Isra Bala
• Michelle Ocampo Baladad
• Alhelia Balbuena-Velasquez
• Zipporah Balete, OD
• Jacob Ballard
• Federico Banales, MD
• Rocio Bandera de Willard
• Julian Bandura, DO

• Dentist in Santa Maria, CA
• Providers in Santa Maria, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.