NPIMap

Organization Active NPI

Katyuska Paredes Lopez DDS Apc

  • General Practice Dentistry
  • Moreno Valley, CA
National Provider Identifier
1275033151
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
KATYUSKA PAREDES LOPEZ DDS APC
Doing business as
KP Dental
Practice address
23318 Olive Wood Plaza Dr Ste C
Moreno Valley, CA 92553-5219
Phone
(951) 242-5585
Fax
(951) 242-5587
NPI assigned
Feb 16, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Authorized official

Name
Reyna Romero
Title
Office Manager
Phone
(951) 242-5585

Specialties & licenses 1

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

Addresses

Primary practice location

23318 Olive Wood Plaza Dr Ste C
Moreno Valley, CA 92553-5219

Mailing address

23318 Olive Wood Plaza Dr Ste C
Moreno Valley, CA 92553-5219
Phone (951) 242-5585

Other practice location 1

615 N Benson Ave Ste F
Upland, CA 91786-5076
Phone (909) 949-4070

Other names 1

  • KP Dental Doing business as

National Provider Directory

National Provider Directory

Locations

23318 Olive Wood Plaza Dr
Ste C
Moreno Valley, CA 92553
Phone (951) 242-5585

615 N Benson Ave
Ste F
Upland, CA 91786
Phone (909) 949-4070

Practitioners & affiliated clinicians

Practitioners 2

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": "1518739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1275033151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23318 OLIVE WOOD PLAZA DR STE C",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925535219",
            "telephone_number": "951-242-5585",
            "fax_number": "951-242-5587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23318 OLIVE WOOD PLAZA DR STE C",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925535219",
            "telephone_number": "951-242-5585",
            "fax_number": "951-242-5587"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "615 N Benson Ave Ste F",
            "address_purpose": "LOCATION",
            "city": "Upland",
            "state": "CA",
            "postal_code": "917865076",
            "country_code": "US",
            "telephone_number": "909-949-4070",
            "fax_number": "951-949-3005",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KATYUSKA PAREDES LOPEZ DDS APC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-16",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "ROMERO",
        "authorized_official_first_name": "REYNA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "951-242-5585"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KP Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Moreno Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.