DR CAROLYN R BALDIVIEZ DENTAL CORPORATION
NPI 1639016959
Dentist - General Practice in Santa Maria, CA
About Dr Carolyn R Baldiviez Dental Corporation NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR CAROLYN R BALDIVIEZ DENTAL CORPORATION (NPI 1639016959) is a healthcare organization registered as a general practice in Santa Maria, California and active in the NPI registry since May 2026. The organization lists Carolyn R Baldiviez, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr Carolyn R Baldiviez Dental Corporation is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Dr Carolyn R Baldiviez Dental Corporation, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Dr Carolyn R Baldiviez Dental Corporation's NPI number?
The NPI number for Dr Carolyn R Baldiviez Dental Corporation is 1639016959. It was assigned to this organization in the NPPES registry on May 4, 2026.
Where is Dr Carolyn R Baldiviez Dental Corporation located?
Dr Carolyn R Baldiviez Dental Corporation is located at 111 E Park Ave, Santa Maria, CA 93454. The listed phone number is (805) 925-8112.
What is Dr Carolyn R Baldiviez Dental Corporation's specialty?
The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.
Is Dr Carolyn R Baldiviez Dental Corporation enrolled in Medicare?
Yes. Dr Carolyn R Baldiviez Dental Corporation is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Dr Carolyn R Baldiviez Dental Corporation?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Dentist) reassigns their Medicare billing to Dr Carolyn R Baldiviez Dental Corporation. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Dr Carolyn R Baldiviez Dental Corporation was last updated on May 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Dr Carolyn R Baldiviez Dental Corporation · NPI 1639016959
General Practice organization in Santa Maria, California. Organization record, active in the CMS NPPES registry since May 4, 2026.
## Identity
- **NPI:** 1639016959 (Entity type: Organization)
- **Enumerated:** May 4, 2026
- **Primary specialty:** Dentist - General Practice · taxonomy 1223G0001X
- **Organization subpart:** No
- **Authorized official:** Carolyn Baldiviez, PRESIDENT
## Practice location
- **Address:** 111 E PARK AVE, Santa Maria, CA 93454-6625
- **Phone:** (805) 925-8112
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Dentist) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 4, 2026
---
Source: [NPI Profile](https://npiprofile.com/npi/1639016959) · Data from the CMS NPPES public registry.