Active NPI
Marisol Lopez, DMD
- General Practice Dentistry
- Clayton, NC
National Provider Identifier
1649825308
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 11585
- Practice address
- 45 Shotwell Rd
Clayton, NC 27520-5501 - Phone
- (919) 550-5200
- NPI assigned
- Aug 8, 2019
- 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 | 11585 | NC | Primary |
Addresses
Primary practice location
45 Shotwell Rd
Clayton, NC 27520-5501
Mailing address
45 Shotwell Rd
Clayton, NC 27520-5501
Phone (919) 550-5200
Other practice location 1
468 NC Highway 24-87
Cameron, NC 28326
Phone (919) 498-0575
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11585 | NC | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1565222400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1743033600000",
"number": "1649825308",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "45 SHOTWELL RD",
"city": "CLAYTON",
"state": "NC",
"postal_code": "275205501",
"telephone_number": "919-550-5200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "45 SHOTWELL RD",
"city": "CLAYTON",
"state": "NC",
"postal_code": "275205501",
"telephone_number": "919-550-5200"
}
],
"practiceLocations": [
{
"address_1": "468 NC Highway 24-87",
"address_purpose": "LOCATION",
"city": "Cameron",
"state": "NC",
"postal_code": "28326",
"country_code": "US",
"telephone_number": "919-498-0575",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LOPEZ",
"first_name": "MARISOL",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-08-08",
"last_updated": "2025-03-27",
"certification_date": "2025-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NC",
"license": "11585",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clayton, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.