Lopez Dental Corporation

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

LOPEZ DENTAL CORPORATION

Doing business as

Modesto Smiles Dentistry Dental Group

Practice address

3601 Pelandale Ave Ste D-1
Modesto, CA 95356-9808

Phone

(209) 245-0014

Fax

(209) 846-3026

NPI assigned

Feb 26, 2018

Organization subpart

No

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

Authorized official

Name

Michael J Lopez, DDS

Title

Owner

Phone

(209) 245-0014

Specialties & licenses 1

Addresses

Other names 1

• Modesto Smiles Dentistry Dental Group Doing business as

Locations

Practitioners 3

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

• Kristen M Belo, DDS

  • Dentist
  • Modesto, CA
  • NPI 1366075988
  NPD (past)
• Allen T Hwang, DDS

  • Dentist
  • Modesto, CA
  • NPI 1639836091
  NPD (past)
• Aron Christopher Lee Tan, DDS

  • General Practice Dentistry
  • Modesto, CA
  • NPI 1669259644
  NPD (past)

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

{
    "created_epoch": "1519603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643932800000",
    "number": "1215438130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 920050",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753920050",
            "telephone_number": "714-845-8500",
            "fax_number": "303-952-0892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 PELANDALE AVE STE D-1",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953569808",
            "telephone_number": "209-245-0014",
            "fax_number": "209-846-3026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOPEZ DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-26",
        "last_updated": "2022-02-04",
        "certification_date": "2022-02-04",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "209-245-0014",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Modesto Smiles Dentistry Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Anthony James Loogman
• Victoria Anne Looney, RN
• Samantha Kehaulani Lopes
• Karina Jazmin Lopez Alvarez
• Vanessa E Lopez Asaah, LCSW
• Miriam Janeth Lopez Diaz
• Edith Lopez Gutierrez
• Daniel Lopez Molina, N.P.
• Maria Guadalupe Lopez Pacheco
• Jaylene Lopez Ruiz

• Dentist in Modesto, CA
• Providers in Modesto, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2022; 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.