Active NPI
Patricia Mireya Lopez, DDS
- General Practice Dentistry
- Brownsville, TX
National Provider Identifier
1396290912
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 32208
- Practice address
- 1205 E Alton Gloor Blvd
Brownsville, TX 78526-3831 - Phone
- (956) 735-8818
- NPI assigned
- Aug 24, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 32208 | TX | Primary |
Addresses
Primary practice location
1205 E Alton Gloor Blvd
Brownsville, TX 78526-3831
Mailing address
5 Cardinal St
Rio Grande City, TX 78582-6259
Phone (956) 735-8818
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 32208 | TX | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1471996800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1471996800000",
"number": "1396290912",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5 CARDINAL ST",
"city": "RIO GRANDE CITY",
"state": "TX",
"postal_code": "785826259",
"telephone_number": "956-735-8818"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1205 E ALTON GLOOR BLVD",
"city": "BROWNSVILLE",
"state": "TX",
"postal_code": "785263831",
"telephone_number": "956-735-8818"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOPEZ",
"first_name": "PATRICIA",
"middle_name": "MIREYA",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-08-24",
"last_updated": "2016-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "32208",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brownsville, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 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.