Jose L. Lopez, DDS, Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

44013 Issued in CA

Legal business name

JOSE L. LOPEZ, DDS, INC

Practice address

3490 Palm Ave
San Diego, CA 92154-1664

Phone

(619) 423-1351

NPI assigned

Mar 5, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Jose L. Lopez, DDS

Title

President of Corporation

Phone

(619) 423-1351

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1700915808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3490 PALM AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921541664",
            "telephone_number": "619-423-1351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3490 PALM AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921541664",
            "telephone_number": "619-423-1351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSE L. LOPEZ, DDS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "PRESIDENT OF CORPORATION",
        "authorized_official_telephone_number": "619-423-1351",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "44013",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTICAL PROVIDER NUMBER",
            "identifier": "B44013",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ketevan Jorjadze, FNP-C
• Arianne Nicole Jornales
• Jose & Karla Ruiz, Olga & Ramon Cardona Partnership
• Jose C. Castillo, D.D.S., Inc.
• Jose E Otero MD Inc
• Jose Rodriguez MD Inc
• Jonathan H. Josebachvili, M.F.T.
• Josele Enterprises Inc
• Joseph a. Zakowski DDS
• Joseph B Stein, MD, Facc, Inc

• General Practice Dentistry in San Diego, CA
• Providers in San Diego, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.