Active NPI
Arturo J Lopez Jr., DDS
- Dentist
- Ooltewah, TN
National Provider Identifier
1689764730
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 9587
- Practice address
- 5913 Main St
Suite 101
Ooltewah, TN 37363-7825 - Phone
- (423) 362-7962
- Fax
- (423) 362-7963
- NPI assigned
- Oct 12, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 21272 | TX | |
| Dentist | 122300000X | 9587 | TN | Primary |
Addresses
Primary practice location
5913 Main St
Suite 101
Ooltewah, TN 37363-7825
Mailing address
5913 Main St
Suite 101
Ooltewah, TN 37363-7825
Phone (423) 362-7962
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1777238 | Other | UNITED CONCORDIA | |
| 89D482 | Other | BLUE CROSS BLUE SHIELD |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9587 | TN | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arturo J. Lopez D.D.S.,P.a. | Past | Accepting new patients | |
| Art of Dentistry, PLLC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Practice Dentistry
- Ooltewah, TN
- NPI 1417365578
-
- General Practice Dentistry
- McAllen, TX
- NPI 1154337830
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1407888000000",
"number": "1689764730",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5913 MAIN ST",
"address_2": "SUITE 101",
"city": "OOLTEWAH",
"state": "TN",
"postal_code": "373637825",
"telephone_number": "423-362-7962",
"fax_number": "423-362-7963"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5913 MAIN ST",
"address_2": "SUITE 101",
"city": "OOLTEWAH",
"state": "TN",
"postal_code": "373637825",
"telephone_number": "423-362-7962",
"fax_number": "423-362-7963"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOPEZ",
"first_name": "ARTURO",
"middle_name": "J",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-12",
"last_updated": "2014-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "21272",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TN",
"license": "9587",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED CONCORDIA",
"identifier": "1777238",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "89D482",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Ooltewah, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 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.