Individual provider Active NPI

Johanna Maria Lopez, D.D.S.

  • Dentist
  • Hendersonville, NC
National Provider Identifier
1477968642
Registry record updated Jan 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
9780 Issued in NC
Practice address
1700 Old Village Rd
Hendersonville, NC 28791-2868
Phone
(828) 693-5190
NPI assigned
Jun 26, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 9780 NC Primary

Addresses

Primary practice location

1700 Old Village Rd
Hendersonville, NC 28791-2868

Mailing address

1700 Old Village Rd
Hendersonville, NC 28791-3736
Phone (828) 693-5190

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20151207001705 NC Order and Referring Only - DentistPractitioner - Dentist 9335449735

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9780NCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Jiamachello and Associates, PLLC Dentist Current Accepting new patients

Locations

1700 Old Village Rd
Hendersonville, NC 28791
Phone (828) 693-5190

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1403740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705276800000",
    "number": "1477968642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 OLD VILLAGE RD",
            "city": "HENDERSONVILLE",
            "state": "NC",
            "postal_code": "287913736",
            "telephone_number": "828-693-5190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 OLD VILLAGE RD",
            "city": "HENDERSONVILLE",
            "state": "NC",
            "postal_code": "287912868",
            "telephone_number": "828-693-5190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "JOHANNA",
        "middle_name": "MARIA",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-26",
        "last_updated": "2024-01-15",
        "certification_date": "2024-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NC",
            "license": "9780",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hendersonville, NC

Sources for this page

Verify at the official NPI Registry.