Andrea Lopez-Torres Silva, DMD

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

2901601077 Issued in MI

Practice address

19925 E 10 Mile Rd
Saint Clair Shores, MI 48080-1069

Phone

(867) 721-8805

NPI assigned

Feb 14, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1487030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626134400000",
    "number": "1629517370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1021 S WASHINGTON AVE APT B",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480673876",
            "telephone_number": "939-717-8710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19925 E 10 MILE RD",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "480801069",
            "telephone_number": "867-721-8805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ-TORRES SILVA",
        "first_name": "ANDREA",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-14",
        "last_updated": "2021-07-13",
        "certification_date": "2021-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "MI",
            "license": "2901601077",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erika Lombardo, ATC, PTA
• Jennifer Lombardo, PA
• Hannah Christine Long
• Valerie Ilene Kvale Long, PH.D.
• Erica Loomis
• Lisa M Lopiccolo, DDS
• Kathleen Loshaw, LMSW
• Kaitlin Love, RN MSN CPNP-PC
• Loving Light Counseling, LLC
• Kathleen Reid Lubera, MA, CCC-SLP

• Periodontics in Saint Clair Shores, MI
• Providers in Saint Clair Shores, MI by specialty
• Periodontics in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.