Mary Leah Tan Lorenzo, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

58868 Issued in CA

Practice address

9535 Reseda Blvd
Ste 213
Northridge, CA 91324-2310

Phone

(818) 718-2566

NPI assigned

Sep 20, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: lorenzo.maryleahdds.p1@direct.jwch.nextgenshare.com

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.

• Mary Leah T. Lorenzo DDS Inc

  • Dental Clinic/Center
  • Northridge, CA
  • NPI 1396463824
  NPD Authorized official
• Nida Rioga Relativo, D.D.S., Inc

  • General Practice Dentistry
  • Northridge, CA
  • NPI 1205381340
  NPD (past)

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

{
    "created_epoch": "1284940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284940800000",
    "number": "1144538596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7540 CANBY AVE",
            "address_2": "#2",
            "city": "RESEDA",
            "state": "CA",
            "postal_code": "913358206",
            "telephone_number": "818-645-7375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9535 RESEDA BLVD",
            "address_2": "STE 213",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913242310",
            "telephone_number": "818-718-2566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LORENZO",
        "first_name": "MARY LEAH",
        "middle_name": "TAN",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-20",
        "last_updated": "2010-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "58868",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Anne Lopez, LPCC
• Marina Lopez
• Melissa Lopez, BA
• Yeimmi Airaly Lopez
• Jacob Jay Lorber, MD
• Mayra Lorenzo
• Marla Anne Lorsch, LCSW
• Los Angeles Gastroenterology Institute
• Love and Peace Home Health, Inc.
• Loving Hands Hospice

• General Practice Dentistry in Northridge, CA
• Providers in Northridge, 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 Sep 20, 2010; 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.