Organization Active NPI

Jay R. Lopez, DDS, PC

  • General Practice Dentistry
  • Tucson, AZ
National Provider Identifier
1194964221
Registry record updated Sep 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
JAY R. LOPEZ, DDS, PC
Practice address
6375 E. Tanque Verde Rd
Ste 30
Tucson, AZ 85715-1696
Phone
(520) 886-8090
Fax
(520) 886-8274
NPI assigned
Feb 12, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2016

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

Authorized official

Name
Dr. Jay R Lopez, DDS
Title
President
Phone
(520) 886-8090

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

6375 E. Tanque Verde Rd
Ste 30
Tucson, AZ 85715-1696

Mailing address

6375 E. Tanque Verde Rd
Ste 30
Tucson, AZ 85715-1696
Phone (520) 886-8090

National Provider Directory

National Provider Directory

Locations

6375 E Tanque Verde Rd
Ste 30
Tucson, AZ 85715
Phone (520) 290-2838

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1234396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474588800000",
    "number": "1194964221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6375 E. TANQUE VERDE RD",
            "address_2": "STE 30",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857151696",
            "telephone_number": "520-886-8090",
            "fax_number": "520-886-8274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6375 E. TANQUE VERDE RD",
            "address_2": "STE 30",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857151696",
            "telephone_number": "520-886-8090",
            "fax_number": "520-886-8274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAY R. LOPEZ, DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-12",
        "last_updated": "2016-09-23",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "JAY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "520-886-8090",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2016; 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.