Organization Active NPI

Dr Yara Lopez Dentistry Professional Corp

  • Dentist
  • Palmdale, CA
National Provider Identifier
1336698109
Registry record updated Sep 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
57581 Issued in CA
Legal business name
DR YARA LOPEZ DENTISTRY PROFESSIONAL CORP
Practice address
40112 170TH St E Ste C
Palmdale, CA 93591-3154
Phone
(661) 441-4115
Fax
(661) 441-4337
NPI assigned
Sep 22, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2016

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

Authorized official

Name
Dr. Yara Scarlette Lopez, DDS
Title
Ceo
Phone
(661) 441-4115

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 57581 CA Primary

Addresses

Primary practice location

40112 170TH St E Ste C
Palmdale, CA 93591-3154

Mailing address

40112 170TH St E Ste C
Palmdale, CA 93591-3154
Phone (661) 441-4115

National Provider Directory

National Provider Directory

Locations

40112 170th St E
Ste C
Palmdale, CA 93591
Phone (661) 441-4115

Practitioners & affiliated clinicians

Practitioners 1

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": "1474502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474502400000",
    "number": "1336698109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40112 170TH ST E STE C",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935913154",
            "telephone_number": "661-441-4115",
            "fax_number": "661-441-4337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40112 170TH ST E STE C",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935913154",
            "telephone_number": "661-441-4115",
            "fax_number": "661-441-4337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR YARA LOPEZ DENTISTRY PROFESSIONAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-22",
        "last_updated": "2016-09-22",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "YARA",
        "authorized_official_middle_name": "SCARLETTE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "661-441-4115",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "57581",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palmdale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2016; 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.