NPIMap

Organization Active NPI

Jose Luis Lopez DDS, Inc.

  • Dental Clinic/Center
  • Baldwin Park, CA
National Provider Identifier
1497424592
Registry record updated Sep 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
JOSE LUIS LOPEZ DDS, INC.
Practice address
3127 Baldwin Park Blvd Ste D
Baldwin Park, CA 91706-4754
Phone
(626) 962-3500
Fax
(626) 962-3551
NPI assigned
Sep 10, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2021

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

Authorized official

Name
Dr. Jose Luis Lopez Bendezu, DDSNPI 1033626247
Title
Dentist
Phone
(714) 429-6734

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

3127 Baldwin Park Blvd Ste D
Baldwin Park, CA 91706-4754

Mailing address

3127 Baldwin Park Blvd Ste D
Baldwin Park, CA 91706-4754
Phone (626) 962-3500

Other identifiers 2

IdentifierTypeStateIssuer
1033626247OtherCAINSURERS
1033626247MedicaidCA

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL bpdentalandortho@gmail.com

National Provider Directory

National Provider Directory
Tax ID family
Jose Luis Lopez DDS Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1631232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631232000000",
    "number": "1497424592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3127 BALDWIN PARK BLVD STE D",
            "city": "BALDWIN PARK",
            "state": "CA",
            "postal_code": "917064754",
            "telephone_number": "626-962-3500",
            "fax_number": "626-962-3551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3127 BALDWIN PARK BLVD STE D",
            "city": "BALDWIN PARK",
            "state": "CA",
            "postal_code": "917064754",
            "telephone_number": "626-962-3500",
            "fax_number": "626-962-3551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSE LUIS LOPEZ DDS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-10",
        "last_updated": "2021-09-10",
        "certification_date": "2021-09-10",
        "status": "A",
        "authorized_official_last_name": "LOPEZ BENDEZU",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "LUIS",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "714-429-6734",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INSURERS",
            "identifier": "1033626247",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1033626247",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "bpdentalandortho@gmail.com",
            "affiliation": "N",
            "address_1": "3127 Baldwin Park Blvd Ste D",
            "city": "Baldwin Park",
            "state": "CA",
            "country_code": "US",
            "postal_code": "917064754",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Baldwin Park, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2021; 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.