NPIMap

Organization Active NPI

Lopez-Bhushan, DDS, P.C.

  • General Practice Dentistry
  • Flower Mound, TX
National Provider Identifier
1407225394
Registry record updated Sep 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
21167 Issued in TX
Legal business name
LOPEZ-BHUSHAN, DDS, P.C.
Practice address
500 Flower Mound Rd SPC 101
Flower Mound, TX 75028-3414
Phone
(972) 539-1995
Fax
(972) 539-1996
NPI assigned
Sep 21, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2015

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

Authorized official

Name
Dr. Gloria Elizabeth Lopez-Bhushan, D.D.S.
Title
President
Phone
(972) 539-1995

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 21167 TX Primary

Addresses

Primary practice location

500 Flower Mound Rd SPC 101
Flower Mound, TX 75028-3414

Mailing address

500 Flower Mound Rd SPC 101
Flower Mound, TX 75028-3414
Phone (972) 539-1995

Other names 1

  • Glorious Smiles Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Glorious Smiles2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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": "1442793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442793600000",
    "number": "1407225394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 FLOWER MOUND RD SPC 101",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750283414",
            "telephone_number": "972-539-1995",
            "fax_number": "972-539-1996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 FLOWER MOUND RD SPC 101",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750283414",
            "telephone_number": "972-539-1995",
            "fax_number": "972-539-1996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOPEZ-BHUSHAN, DDS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-21",
        "last_updated": "2015-09-21",
        "status": "A",
        "authorized_official_last_name": "LOPEZ-BHUSHAN",
        "authorized_official_first_name": "GLORIA",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "972-539-1995",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "21167",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Glorious Smiles",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Flower Mound, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2015; 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.