Laura De Lopez, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

47874 Issued in CA

Practice address

1320 N Garey Ave
Pomona, CA 91767-3808

Phone

(909) 623-4487

Fax

(909) 623-4645

NPI assigned

Mar 12, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Mrs. Maria Laura De Lopez Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• M Laura de Lopez Dental Corp

  • Dentist
  • Pomona, CA
  • NPI 1447431887
  NPD (past)

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

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1417089459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1320 N GAREY AVE",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917673808",
            "telephone_number": "909-623-4487",
            "fax_number": "909-623-4645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1320 N GAREY AVE",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917673808",
            "telephone_number": "909-623-4487",
            "fax_number": "909-623-4645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE LOPEZ",
        "first_name": "LAURA",
        "name_prefix": "Mrs.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "47874",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE #",
            "identifier": "47874",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI-CAL DENTAL PROGRAM",
            "identifier": "D47874",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIA",
            "last_name": "DE LOPEZ",
            "middle_name": "LAURA",
            "prefix": "MRS.",
            "credential": "D.D.S.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Nayeli Diane De la Paz
• Lucia Patricia De la Torre
• Marlen De la Torre, ASW
• Emmanuel John De Leon
• George Jacob De Leon
• Aizza Marie De Los Angeles, DPT
• Sophia Rose De Ocampo
• Patty De Santiago
• Kayla Janel Deal
• Janet Lynn Deardorff

• General Practice Dentistry in Pomona, CA
• Providers in Pomona, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.