Carolyn R Baldiviez D D S Inc

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

CAROLYN R BALDIVIEZ D D S INC

Practice address

111 E Park Ave
Santa Maria, CA 93454-6625

Phone

(805) 925-8112

NPI assigned

Aug 2, 2016

Organization subpart

No

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

Authorized official

Name

Carolyn R Baldiviez, DDSNPI 1225069172

Title

Owner

Phone

(805) 925-8112

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Carolyn R Baldiviez, D.D.S.

  • Dentist
  • Santa Maria, CA
  • NPI 1225069172
  NPD Authorized official

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

{
    "created_epoch": "1470096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470096000000",
    "number": "1265985642",
    "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"
        },
        {
            "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"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLYN R BALDIVIEZ D D S INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-02",
        "last_updated": "2016-08-02",
        "status": "A",
        "authorized_official_last_name": "BALDIVIEZ",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "805-925-8112",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carlos Guerrero Licensed Clinical Social Worker, Inspiration Point Cou
• Faith Kriewall Carlson, MSW
• Ginger Carmichael
• Angelina Natasha Carnero
• Gabriel Caro
• William Carr, PT, DPT
• Armando Carranza-Hernandez
• Britney Marie Carranza
• Javier Carranza, M.A.
• Christina Antonette Carrari, D.C.

• 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 Aug 2, 2016; 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.