Lopez Dental Health Group PC

Primary specialty

DentistTaxonomy code 122300000X

License

202463 Issued in CO

Legal business name

LOPEZ DENTAL HEALTH GROUP PC

Practice address

3400 Penrose PL
Boulder, CO 80301-1809

Phone

(303) 442-5748

NPI assigned

Apr 12, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Jose L Lopez

Title

DDS

Phone

(787) 466-4878

Specialties & licenses 1

Addresses

Tax ID family

Dr Andrew L Fiscus DDS PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Dr Andrew L Fiscus DDS PC

  • Dentist
  • Bainbridge Island, WA
  • NPI 1962879312
  NPD tax ID

Locations

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

{
    "created_epoch": "1428796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428796800000",
    "number": "1043606510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 PENROSE PL",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803011809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 PENROSE PL",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803011809",
            "telephone_number": "303-442-5748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOPEZ DENTAL HEALTH GROUP PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-12",
        "last_updated": "2015-04-12",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DDS",
        "authorized_official_telephone_number": "787-466-4878",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CO",
            "license": "202463",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dorothy Longobardi
• David H Lookner, M.D.
• Lookout at Choice
• Lookout Managment LLC
• Karen Looney, MS. AC, L. AC, DIPL.
• Emily Lopez, RBT
• Matthew J Loran, M.D.
• Nichole Loran
• Christopher Lord
• Kristine Nichole Lorefice, LMSW

• Dentist in Boulder, CO
• Providers in Boulder, CO by specialty
• Dentist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 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.