NPIMap

Organization Active NPI

Valdez Family Dentistry

  • Dentist
  • Chino, CA
National Provider Identifier
1295101640
Registry record updated Aug 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
61102 Issued in CA
Legal business name
VALDEZ FAMILY DENTISTRY
Practice address
4129 Riverside Dr
Chino, CA 91710
Phone
(909) 591-9211
Fax
(909) 613-0601
NPI assigned
Aug 19, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2015

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

Authorized official

Name
Dr. Vivian Monique Valdez, D.M.DNPI 1992079586
Title
Dentist
Phone
(909) 591-9211

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X 61102 CA Primary
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X 61143 CA

Addresses

Primary practice location

4129 Riverside Dr
Chino, CA 91710

Mailing address

4129 Riverside Dr.
Chino, CA 91710
Phone (909) 591-9211

National Provider Directory

National Provider Directory

Locations

4129 Riverside Dr
Chino, CA 91710
Phone (909) 591-9211

Practitioners & affiliated clinicians

Practitioners 3

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": "1439942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439942400000",
    "number": "1295101640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4129 RIVERSIDE DR.",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "91710",
            "telephone_number": "909-591-9211",
            "fax_number": "909-613-0601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4129 RIVERSIDE DR",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "91710",
            "telephone_number": "909-591-9211",
            "fax_number": "909-613-0601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALDEZ FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-19",
        "last_updated": "2015-08-19",
        "status": "A",
        "authorized_official_last_name": "VALDEZ",
        "authorized_official_first_name": "VIVIAN",
        "authorized_official_middle_name": "MONIQUE",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "909-591-9211",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "61102",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "61143",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2015; 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.