Individual provider Active NPI

Maria Jose Lopez Mendez, DMD

  • General Practice Dentistry
  • Luray, VA
National Provider Identifier
1396660189
Registry record updated Aug 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
0401419998 Issued in VA
Practice address
33 N Bank St
Luray, VA 22835-1115
Phone
(540) 743-3434
NPI assigned
Aug 11, 2026
Last updated
Aug 11, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 11, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 0401419998 VA Primary

Addresses

Primary practice location

33 N Bank St
Luray, VA 22835-1115

Mailing address

10861 Gambril Dr Apt 33
Manassas, VA 20109-6593
Phone (904) 504-0042

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

NPI Registry JSON

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

{
    "created_epoch": "1786406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786406400000",
    "number": "1396660189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10861 GAMBRIL DR APT 33",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201096593",
            "telephone_number": "904-504-0042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 N BANK ST",
            "city": "LURAY",
            "state": "VA",
            "postal_code": "228351115",
            "telephone_number": "540-743-3434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ MENDEZ",
        "first_name": "MARIA",
        "middle_name": "JOSE",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-08-11",
        "last_updated": "2026-08-11",
        "certification_date": "2026-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401419998",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Luray, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2026; 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.