Analyssa Dominguez Lopez

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

36407 Issued in TX

Practice address

244 FM 306 Ste 118
New Braunfels, TX 78130-5487

Phone

(830) 201-1223

NPI assigned

Aug 7, 2020

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 names 1

• Dr. Analyssa Dominguez Lopez Former name

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.

• New Braunfels Modern Dentistry,PC

  • Dentist
  • New Braunfels, TX
  • NPI 1700332723
  NPD (past)

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

{
    "created_epoch": "1596758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596758400000",
    "number": "1134739873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3531 MENDOCINO PARK",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782612456",
            "telephone_number": "210-248-4523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "244 FM 306 STE 118",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781305487",
            "telephone_number": "830-201-1223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "ANALYSSA",
        "middle_name": "DOMINGUEZ",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-07",
        "last_updated": "2020-08-07",
        "certification_date": "2020-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "36407",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANALYSSA",
            "last_name": "LOPEZ",
            "middle_name": "DOMINGUEZ",
            "prefix": "DR.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Teddy Lee Loney
• Deborah Lynn Long, R.PH.
• Kelsey Anne Longoria
• Sayda Longoria
• Amanda Adelina Lopez
• Ashley Amber Lopez
• Carolina Lopez, BCBA, LBA
• Emily Dawn Lopez
• Gabriela Lopez, RBT
• Lauren Celeste Lopez

• General Practice Dentistry in New Braunfels, TX
• Providers in New Braunfels, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2020; 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.