Christian Lopez Cornejo, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

101440 Issued in CA

Practice address

1570 E Herndon Ave
Fresno, CA 93720-3303

Phone

(559) 437-7333

NPI assigned

Jun 21, 2017

Last updated

May 16, 2025By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Christian Lopez Cornejo DMD Dental Corp

  dba Community Dental Group

  • General Practice Dentistry
  • Fresno, CA
  • NPI 1881572949
  NPD Authorized official

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

{
    "created_epoch": "1498003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747353600000",
    "number": "1417477480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4228 SALEM LN",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936195165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1570 E HERNDON AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937203303",
            "telephone_number": "559-437-7333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ CORNEJO",
        "first_name": "CHRISTIAN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-21",
        "last_updated": "2025-05-16",
        "certification_date": "2025-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "101440",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tricia Loo, M.D.
• Teya Looney
• Librada Alicia Loop
• Blanca Lopez Avalos
• Marisol Lopez Ayala
• Juan Ulises Lopez Gonzalez, LVN
• Jonathan Lopez Hernandez
• Belen Lopez Perez
• Erika Lizett Lopez Perez
• Jennifer Lopez Santos

• General Practice Dentistry in Fresno, CA
• Providers in Fresno, 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 May 16, 2025; 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.