Tracy Lee Lopez, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

0401418185 Issued in VA

Practice address

4038 Thomas Nelson Hwy
Arrington, VA 22922-2302

Phone

(434) 263-4000

Fax

(434) 263-4160

NPI assigned

Jun 5, 2014

Last updated

May 28, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Tracy Lee Van Duyne Former name

Medicare fee-for-service enrollment

Enrolled in VA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Blue Ridge Health Center Inc

  dba Blue Ridge Medical Center

  • Federally Qualified Health Center (FQHC)
  • Arrington, VA
  • NPI 1518945187
  Medicare reassignment NPD
• Blue Ridge Health Center Inc

  dba Blue Ridge Medical Center--Appomattox

  • Federally Qualified Health Center (FQHC)
  • Appomattox, VA
  • NPI 1477163475
  NPD
• Blue Ridge Health Center Inc

  dba Blue Ridge Dental Center

  • Federally Qualified Health Center (FQHC)
  • Arrington, VA
  • NPI 1962753145
  NPD (past)

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

{
    "created_epoch": "1401926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748390400000",
    "number": "1184037277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4038 THOMAS NELSON HWY",
            "city": "ARRINGTON",
            "state": "VA",
            "postal_code": "229222302",
            "telephone_number": "434-263-4000",
            "fax_number": "434-263-4160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4038 THOMAS NELSON HWY",
            "city": "ARRINGTON",
            "state": "VA",
            "postal_code": "229222302",
            "telephone_number": "434-263-4000",
            "fax_number": "434-263-4160"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3135 Columbia Blvd, Suite 101",
            "address_purpose": "LOCATION",
            "city": "Titusville",
            "state": "FL",
            "postal_code": "32803",
            "country_code": "US",
            "telephone_number": "321-567-2000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "TRACY",
        "middle_name": "LEE",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-05",
        "last_updated": "2025-05-28",
        "certification_date": "2025-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN20647",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401418185",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TRACY",
            "last_name": "VAN DUYNE",
            "middle_name": "LEE",
            "credential": "DMD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Tabatha Brittany Davis, MD
• Gerald W. Dewitt, M.D.
• Danae Consuelo Guerra, PA
• Rachel Faye Harris, DNP, FNP-BC
• Aniessa Holland
• Kelley Marie Mayberry, RDH
• Elizabeth Reagan Michaels, PA-C
• Anita Neville
• Janet J Ngai, PT
• Benjamin Elliott Nissley, FNP-C

• Dentist in Arrington, VA
• Providers in Arrington, VA by specialty
• Dentist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.