Active NPI
David Lopes, D.D.S.
- General Practice Dentistry
- El Dorado Hills, CA
National Provider Identifier
1477761864
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 44611
- Practice address
- 1150 Suncast LN
Suite 6
El Dorado Hills, CA 95762-9324 - Phone
- (916) 933-4646
- Fax
- (916) 933-4606
- NPI assigned
- May 18, 2007
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 44611 | CA | Primary |
Addresses
Primary practice location
1150 Suncast LN
Suite 6
El Dorado Hills, CA 95762-9324
Mailing address
1150 Suncast LN
Suite 6
El Dorado Hills, CA 95762-9324
Phone (916) 933-4646
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gagandeep S Kandola, DMD Inc. | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179446400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1477761864",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1150 SUNCAST LN",
"address_2": "SUITE 6",
"city": "EL DORADO HILLS",
"state": "CA",
"postal_code": "957629324",
"telephone_number": "916-933-4646",
"fax_number": "916-933-4606"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1150 SUNCAST LN",
"address_2": "SUITE 6",
"city": "EL DORADO HILLS",
"state": "CA",
"postal_code": "957629324",
"telephone_number": "916-933-4646",
"fax_number": "916-933-4606"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOPES",
"first_name": "DAVID",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-18",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "44611",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in El Dorado Hills, CA
Sources for this page
- 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.