Individual provider Active NPI

Daniel Alonso Lopez, DDS

  • Dentist
  • El Paso, TX
National Provider Identifier
1275945727
Registry record updated Dec 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
29998 Issued in TX
Practice address
1612 N Lee Trevino Dr
Suite C
El Paso, TX 79936-5176
Phone
(915) 593-6661
NPI assigned
Jun 2, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 29998 TX Primary

Addresses

Primary practice location

1612 N Lee Trevino Dr
Suite C
El Paso, TX 79936-5176

Mailing address

1612 N Lee Trevino Dr
Suite C
El Paso, TX 79936-5176
Phone (915) 593-6661

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20160203000129 TX Order and Referring Only - DentistPractitioner - Dentist 8628372307

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
29998TXMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Healthy 32 Dental PLLC Dentist Past Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1401667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449446400000",
    "number": "1275945727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1612 N LEE TREVINO DR",
            "address_2": "SUITE C",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799365176",
            "telephone_number": "915-593-6661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1612 N LEE TREVINO DR",
            "address_2": "SUITE C",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799365176",
            "telephone_number": "915-593-6661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "DANIEL",
        "middle_name": "ALONSO",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-02",
        "last_updated": "2015-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "29998",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.