Sergio E Lopez, DDS, Pediatric Dentistry, PLLC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

27129 Issued in TX

Legal business name

SERGIO E LOPEZ, DDS, PEDIATRIC DENTISTRY, PLLC

Practice address

1507 South McColl Road
Edinburg, TX 78541

Phone

(956) 212-3662

NPI assigned

Jun 10, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Sergio Enrique Lopez, DDSNPI 1154619088

Title

Owner/Pediatric Dentist

Phone

(956) 212-3662

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sergio Enrique Lopez, DDS

  • Pediatric Dentistry
  • Edinburg, TX
  • NPI 1154619088
  NPD (past) Authorized official

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

{
    "created_epoch": "1433894400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433894400000",
    "number": "1104207653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4217 COLBATH AVE",
            "address_2": "APT. 330-B",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "78503",
            "telephone_number": "956-212-3662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1507 SOUTH MCCOLL ROAD",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "78541",
            "telephone_number": "956-212-3662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERGIO E LOPEZ, DDS, PEDIATRIC DENTISTRY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-10",
        "last_updated": "2015-06-10",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "SERGIO",
        "authorized_official_middle_name": "ENRIQUE",
        "authorized_official_title_or_position": "OWNER/PEDIATRIC DENTIST",
        "authorized_official_telephone_number": "956-212-3662",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "TX",
            "license": "27129",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrea Sepulveda, RBT
• Deileen Sepulveda
• Jameliz Sepulveda, BT
• Rebekkah Naoemi Sepulveda
• Serenity Counseling and Social Services
• Alexa Serna, LMT
• Samuel Serna, M.D.
• Sandra Serna
• Michael John Serra Torres, M.D.
• Juan Antonio Serrato Jr., MD

• Pediatric Dentistry in Edinburg, TX
• Providers in Edinburg, TX by specialty
• Pediatric Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 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.