NPIMap

Organization Active NPI

Maroon-Lopez DDS, PC

  • Dentist
  • Chula Vista, CA
National Provider Identifier
1225415862
Registry record updated May 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
MAROON-LOPEZ DDS, PC
Doing business as
Carmen Denise Maroon Lopez
Practice address
2648 Main St Ste a
Chula Vista, CA 91911-4664
Phone
(619) 423-5200
Fax
(619) 423-2706
NPI assigned
May 4, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2015

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

Authorized official

Name
Mrs. Carmen Denise Maroon-Lopez, DDS, PCNPI 1316186562
Title
President
Phone
(619) 423-5200

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

2648 Main St Ste a
Chula Vista, CA 91911-4664

Mailing address

2648 Main St Ste a
Chula Vista, CA 91911-4664
Phone (619) 423-5200

Other identifiers 1

IdentifierTypeStateIssuer
1316186562OtherCADENTAL

Other names 1

  • Carmen Denise Maroon Lopez Doing business as

National Provider Directory

National Provider Directory

Locations

2648 Main St
Ste A
Chula Vista, CA 91911
Phone (619) 423-5200

Practitioners & affiliated clinicians

Practitioners 6

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": "1430697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430697600000",
    "number": "1225415862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2648 MAIN ST STE A",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919114664",
            "telephone_number": "619-423-5200",
            "fax_number": "619-423-2706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2648 MAIN ST STE A",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919114664",
            "telephone_number": "619-423-5200",
            "fax_number": "619-423-2706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAROON-LOPEZ DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-04",
        "last_updated": "2015-05-04",
        "status": "A",
        "authorized_official_last_name": "MAROON-LOPEZ",
        "authorized_official_first_name": "CARMEN",
        "authorized_official_middle_name": "DENISE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "619-423-5200",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "DDS, PC"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL",
            "identifier": "1316186562",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carmen Denise Maroon Lopez",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chula Vista, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2015; 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.