Active NPI
Irais Lozano, DDS
- General Practice Dentistry
- Chula Vista, CA
National Provider Identifier
1629432240
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DDS101604
- Practice address
- 510 Broadway Ste 4
Chula Vista, CA 91910-5306 - Phone
- (619) 476-9400
- NPI assigned
- Apr 9, 2016
- Sex
- Female
- Sole proprietor
- No
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 | DDS101604 | CA | Primary |
Addresses
Primary practice location
510 Broadway Ste 4
Chula Vista, CA 91910-5306
Mailing address
7056 Highland Spring Lane
Highland, CA 92346
Phone (619) 600-2948
Other practice location 1
290 N Wayte Ln
Suite 2500
Fresno, CA 93701-2124
Phone (559) 459-5725
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DDS101604 | CA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1460160000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1629432240",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7056 HIGHLAND SPRING LANE",
"city": "HIGHLAND",
"state": "CA",
"postal_code": "92346",
"telephone_number": "619-600-2948"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "510 BROADWAY STE 4",
"city": "CHULA VISTA",
"state": "CA",
"postal_code": "919105306",
"telephone_number": "619-476-9400"
}
],
"practiceLocations": [
{
"address_1": "290 N Wayte Ln",
"address_2": "Suite 2500",
"address_purpose": "LOCATION",
"city": "Fresno",
"state": "CA",
"postal_code": "937012124",
"country_code": "US",
"telephone_number": "559-459-5725",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LOZANO",
"first_name": "IRAIS",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-04-09",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "DDS101604",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chula Vista, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.