Organization Active NPI

Snow Nakano & Lopez Professional Dental Corporation

  • Periodontics
  • Palmdale, CA
National Provider Identifier
1376194639
Registry record updated May 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
Legal business name
SNOW NAKANO & LOPEZ PROFESSIONAL DENTAL CORPORATION
Practice address
868 Auto Center Dr Ste a
Palmdale, CA 93551-4691
Phone
(661) 450-0116
NPI assigned
Sep 26, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2020

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

Authorized official

Name
Mrs. Leonor Pineda
Title
Insurance Coordinator
Phone
(661) 450-0116

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PeriodonticsGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0300X Primary

Addresses

Primary practice location

868 Auto Center Dr Ste a
Palmdale, CA 93551-4691

Mailing address

868 Auto Center Dr Ste a
Palmdale, CA 93551-4691
Phone (661) 450-0116

Other names 1

  • Antelope Valley Dental Surgery Center Doing business as

National Provider Directory

National Provider Directory

Locations

868 Auto Center Dr
Ste A
Palmdale, CA 93551
Phone (661) 450-0116

NPI Registry JSON

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

{
    "created_epoch": "1569456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589414400000",
    "number": "1376194639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "868 AUTO CENTER DR STE A",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935514691",
            "telephone_number": "661-450-0116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "868 AUTO CENTER DR STE A",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935514691",
            "telephone_number": "661-450-0116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SNOW NAKANO & LOPEZ PROFESSIONAL DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-26",
        "last_updated": "2020-05-14",
        "certification_date": "2020-05-14",
        "status": "A",
        "authorized_official_last_name": "PINEDA",
        "authorized_official_first_name": "LEONOR",
        "authorized_official_title_or_position": "INSURANCE COORDINATOR",
        "authorized_official_telephone_number": "661-450-0116",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Antelope Valley Dental Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 May 14, 2020; 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.