Katyuska Paredes Lopez, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

50967 Issued in CA

Practice address

23318 Olive Wood Plaza Dr Ste C
Moreno Valley, CA 92553-5219

Phone

(951) 242-5585

Fax

(951) 242-5587

NPI assigned

Feb 19, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Dr. Deza'S Dental Office Inc.

  • Dental Clinic/Center
  • Moreno Valley, CA
  • NPI 1548612856
  NPD (past)
• Katyuska Paredes Lopez DDS Apc

  • General Practice Dentistry
  • Moreno Valley, CA
  • NPI 1275033151
  NPD (past)

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

{
    "created_epoch": "1171843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1083758296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23318 OLIVE WOOD PLAZA DR STE C",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925535219",
            "telephone_number": "951-242-5585",
            "fax_number": "951-242-5587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23318 OLIVE WOOD PLAZA DR STE C",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925535219",
            "telephone_number": "951-242-5585",
            "fax_number": "951-242-5587"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "23080 Alessandro Blvd Ste 201",
            "address_purpose": "LOCATION",
            "city": "Moreno Valley",
            "state": "CA",
            "postal_code": "925539674",
            "country_code": "US",
            "telephone_number": "951-697-0909",
            "fax_number": "951-697-1116",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "KATYUSKA",
        "middle_name": "PAREDES",
        "name_prefix": "Prof.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-19",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "50967",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTI-CAL",
            "identifier": "D50967",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ashley Lopez
• Claudio M Lopez
• Gabrielle Angelique Lopez, CADC-LL, ICADC
• Jazlyn Alexa Lopez
• Jesus Lopez, MD
• Kelly Paola Lopez, BCBA
• Libier Moreno Lopez, ASW
• Miguel Angel Lopez
• Nancy Lopez, B.S.
• Rosa Angela Lopez, MC

• General Practice Dentistry in Moreno Valley, CA
• Providers in Moreno Valley, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.