Victor Hugo Viveros, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

110195 Issued in CA

Practice address

300 Carlsbad Village Dr Ste 203
Carlsbad, CA 92008-2990

Phone

(760) 487-0203

NPI assigned

May 8, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

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

Practice roles

Interoperability endpoints

• Direct secure messaging: vviveros59902@syhealth.direct-ci.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Amanda Mercer and Diana DO-Yabut Dental Corporation

  • Dentist
  • Carlsbad, CA
  • NPI 1255787750
  NPD (past)

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

{
    "created_epoch": "1683504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721692800000",
    "number": "1699464438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4805 CORTE OLIVAS",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930124041",
            "telephone_number": "805-816-9068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 CARLSBAD VILLAGE DR STE 203",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920082990",
            "telephone_number": "760-487-0203"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4805 Corte Olivas",
            "address_purpose": "LOCATION",
            "city": "Camarillo",
            "state": "CA",
            "postal_code": "930124041",
            "country_code": "US",
            "telephone_number": "805-816-9068",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VIVEROS",
        "first_name": "VICTOR",
        "middle_name": "HUGO",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-05-08",
        "last_updated": "2024-07-23",
        "certification_date": "2024-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "110195",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vista Carlsbad Senior Living Inc.
• Isabella Ann Vitiello
• Antonio Vitrano, MFT, LPCC
• Melody S Vivar
• Christina Viveros-Cruz
• April Nicole Vogel, PT, DPT
• Brooke Taylor Voigt
• Lydia Von Imm, PHD
• Deviane Von Kaenel
• Michelle Carmichael Vonn

• Dentist in Carlsbad, CA
• Providers in Carlsbad, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2024; 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.