Active NPI
Dr Carolyn R Baldiviez Dental Corporation
- General Practice Dentistry
- Santa Maria, CA
National Provider Identifier
1639016959
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- DR CAROLYN R BALDIVIEZ DENTAL CORPORATION
- Practice address
- 111 E Park Ave
Santa Maria, CA 93454-6625 - Phone
- (805) 925-8112
- NPI assigned
- May 4, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Carolyn R Baldiviez, DDS
- Title
- President
- Phone
- (805) 925-8112
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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | Primary | ||
| Customized Equipment (DME) | 332BC3200X |
Addresses
Primary practice location
111 E Park Ave
Santa Maria, CA 93454-6625
Mailing address
111 E Park Ave
Santa Maria, CA 93454-6625
Phone (805) 925-8112
National Provider Directory
National Provider DirectoryPractitioners & 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": "1777852800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1777852800000",
"number": "1639016959",
"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": "DR CAROLYN R BALDIVIEZ DENTAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2026-05-04",
"last_updated": "2026-05-04",
"certification_date": "2026-05-04",
"status": "A",
"authorized_official_last_name": "BALDIVIEZ",
"authorized_official_first_name": "CAROLYN",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "805-925-8112",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": null,
"license": null,
"primary": true
},
{
"code": "332BC3200X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Santa Maria, CA
Sources for this page
- 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.