Celiany Lopez Rivera, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

33507 Issued in TX

Practice address

529 N Valley Mills Dr
Waco, TX 76710-5234

Phone

(254) 230-1582

NPI assigned

Jul 18, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Networks

• Freedom Health HMO Network

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

{
    "created_epoch": "1500336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1503964800000",
    "number": "1669995981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 CASA LINDA VLG",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009598984",
            "telephone_number": "787-408-5545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "529 N VALLEY MILLS DR",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767105234",
            "telephone_number": "254-230-1582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ RIVERA",
        "first_name": "CELIANY",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-18",
        "last_updated": "2017-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "33507",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaitlin Long
• Robert Long, MD
• William S Longino, D.D.S.
• Libby Noelle Longman, PA
• Cherryl Jean Macabuhay Lontoc
• Elise Lopez
• Elva L Lopez
• Erica Lopez
• Judith Marie Lopez, LVN
• Julian Alexes Lopez, PHARMD

• General Practice Dentistry in Waco, TX
• Providers in Waco, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2017; 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.