Carmen Denise Maroon-Lopez, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

D40672 Issued in CA

Practice address

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

Phone

(619) 423-5200

Fax

(619) 423-2706

NPI assigned

Feb 11, 2009

Last updated

Aug 25, 2010By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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

• Maroon-Lopez DDS, PC

  dba Carmen Denise Maroon Lopez

  • Dentist
  • Chula Vista, CA
  • NPI 1225415862
  NPD (past) Authorized official
• Prisma Care, a Medical Corporation

  • Internal Medicine Physician
  • Chula Vista, CA
  • NPI 1093809139
  NPD (past)

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

{
    "created_epoch": "1234310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282694400000",
    "number": "1316186562",
    "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": {
        "last_name": "MAROON-LOPEZ",
        "first_name": "CARMEN",
        "middle_name": "DENISE",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-02-11",
        "last_updated": "2010-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "D40672",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marilou D. Quiroz DMD., Inc
• Marilyn S. Norton M.D., Inc. (South County Hematology Oncology, Inc.)
• Mariana Marin Estrada
• Marites L. Sotto, DDS, Inc.
• Maroon-Lopez DDS, PC (Carmen Denise Maroon Lopez)
• Brandon Kian Gino Maroon, DDS
• Ileana Dominique Maroon, DDS
• Ileana P Maroon, D.D.S
• John Maroon, DDS
• Kaitlin Niki Maroon

• Dentist in Chula Vista, CA
• Providers in Chula Vista, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.