Individual provider Active NPI

Rosa Lopez-Aldazabal

  • Dentist
  • Philadelphia, PA
National Provider Identifier
1427496140
Registry record updated Jan 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DS039848 Issued in PA
Practice address
2327 Cottman Ave
Yes Dental P.C.
Philadelphia, PA 19149-1008
Phone
(215) 332-8700
NPI assigned
Jun 5, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 23, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Dentist 122300000X DS039848 PA Primary

Addresses

Primary practice location

2327 Cottman Ave
Yes Dental P.C.
Philadelphia, PA 19149-1008

Mailing address

2327 Cottman Ave
Yes Dental P.C.
Philadelphia, PA 19149-1008
Phone (215) 332-8700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160519001756 DC Order and Referring Only - DentistPractitioner - Dentist 8123317831

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DS039848PAMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1370390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485129600000",
    "number": "1427496140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2327 COTTMAN AVE",
            "address_2": "YES DENTAL P.C.",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191491008",
            "telephone_number": "215-332-8700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2327 COTTMAN AVE",
            "address_2": "YES DENTAL P.C.",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191491008",
            "telephone_number": "215-332-8700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ-ALDAZABAL",
        "first_name": "ROSA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-06-05",
        "last_updated": "2017-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS039848",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.