Active NPI
Eduardo C Lopez, DDS
- Pediatric Dentistry
- Oxnard, CA
National Provider Identifier
1659465110
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 52081
- Practice address
- 451 W. Gonzales Rd.
Carriage Medical Plaza Suite 300
Oxnard, CA 93036 - Phone
- (805) 983-0100
- Fax
- (805) 983-0937
- NPI assigned
- Oct 2, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 52081 | CA | Primary |
Addresses
Primary practice location
451 W. Gonzales Rd.
Carriage Medical Plaza Suite 300
Oxnard, CA 93036
Mailing address
950 Seamist PL.
#101
Ventura, CA 93003
Phone (909) 838-8287
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 |
|---|---|---|---|
| 52081 | CA | MD | Pediatric Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1659465110",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "950 SEAMIST PL.",
"address_2": "#101",
"city": "VENTURA",
"state": "CA",
"postal_code": "93003",
"telephone_number": "909-838-8287"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "451 W. GONZALES RD.",
"address_2": "CARRIAGE MEDICAL PLAZA SUITE 300",
"city": "OXNARD",
"state": "CA",
"postal_code": "93036",
"telephone_number": "805-983-0100",
"fax_number": "805-983-0937"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOPEZ",
"first_name": "EDUARDO",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "CA",
"license": "52081",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oxnard, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.