Juan J. Lopez, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

58910 Issued in CA

Practice address

115 Pirie Rd, Suite G
Ojai, CA 93023

Phone

(805) 646-1001

Fax

(805) 640-7867

NPI assigned

Nov 4, 2009

Sex

Male

Sole proprietor

No

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

Locations

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.

• Juan Jose Lopez DDS, Inc.

  dba Ojai Advanced Dentistry

  • General Practice Dentistry
  • Ojai, CA
  • NPI 1023820214
  NPD Authorized official
• Guillermo Donan, DDS., Inc

  • General Practice Dentistry
  • Fresno, CA
  • NPI 1225168016
  NPD (past)

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

{
    "created_epoch": "1257292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637884800000",
    "number": "1396072815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 PIRIE RD, SUITE G",
            "city": "OJAI",
            "state": "CA",
            "postal_code": "93023",
            "telephone_number": "805-646-1001",
            "fax_number": "805-640-7867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 PIRIE RD, SUITE G",
            "city": "OJAI",
            "state": "CA",
            "postal_code": "93023",
            "telephone_number": "805-646-1001",
            "fax_number": "805-640-7867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "JUAN",
        "middle_name": "J.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-11-04",
        "last_updated": "2021-11-26",
        "certification_date": "2021-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "58910",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fred Leivo
• Camilla Alexandra Lettini, LCSW
• Rowan Octavia Lommel
• Debra S London, M.D.
• Jene' Christine Loomis, MS, CCC-SLP
• Los Robles Care Center Inc.
• Lovell Domain
• Brigitte Victoria Lovell, DMD
• Ashley Lowe, MA, MFTI
• Monica Marie Lowe, M.S., R.D.

• Dentist in Ojai, CA
• Providers in Ojai, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2021; 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.