NPIMap

Organization Active NPI

Jacqueline Lopez DDS Inc

Doing business as Dental Studio

  • Dental Clinic/Center
  • North Hollywood, CA
National Provider Identifier
1649674581
Registry record updated Oct 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
62003 Issued in CA
Legal business name
JACQUELINE LOPEZ DDS INC
Doing business as
Dental Studio
Practice address
12120 Saticoy St
Ste. C
North Hollywood, CA 91605-3055
Phone
(818) 255-2244
Fax
(818) 255-2223
NPI assigned
Oct 21, 2014
Last updated
Oct 21, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2014

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

Authorized official

Name
Jacqueline V Lopez, DDS
Title
Dentist
Phone
(818) 255-2244

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 62003 CA Primary

Addresses

Primary practice location

12120 Saticoy St
Ste. C
North Hollywood, CA 91605-3055

Mailing address

12120 Saticoy St
Ste. C
North Hollywood, CA 91605-3055
Phone (818) 255-2244

Other identifiers 1

IdentifierTypeStateIssuer
210745OtherCAACCESS DENTAL ID

Other names 1

  • Dental Studio Doing business as

National Provider Directory

National Provider Directory

Locations

12120 Saticoy St
#C
North Hollywood, CA 91605
Phone (818) 255-2244

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1413849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413849600000",
    "number": "1649674581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12120 SATICOY ST",
            "address_2": "STE. C",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916053055",
            "telephone_number": "818-255-2244",
            "fax_number": "818-255-2223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12120 SATICOY ST",
            "address_2": "STE. C",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916053055",
            "telephone_number": "818-255-2244",
            "fax_number": "818-255-2223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACQUELINE LOPEZ DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-21",
        "last_updated": "2014-10-21",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "818-255-2244",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "62003",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACCESS DENTAL ID",
            "identifier": "210745",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dental Studio",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in North Hollywood, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2014; 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.