NPIMap

Organization Active NPI

Jose Luis Lopez DDS, Inc.

  • Dental Clinic/Center
  • San Bernardino, CA
National Provider Identifier
1750139788
Registry record updated May 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
JOSE LUIS LOPEZ DDS, INC.
Practice address
2500 Del Rosa Ave
San Bernardino, CA 92404-4442
Phone
(909) 713-2041
NPI assigned
May 6, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2024

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

Authorized official

Name
Jose Luis Lopez, DDS
Title
Owner/Dentist
Phone
(714) 429-6734

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

2500 Del Rosa Ave
San Bernardino, CA 92404-4442

Mailing address

3127 Baldwin Park Blvd Ste D
Baldwin Park, CA 91706-4754
Phone (626) 962-3500

National Provider Directory

National Provider Directory
Tax ID family
Jose Luis Lopez DDS Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1714953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714953600000",
    "number": "1750139788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3127 BALDWIN PARK BLVD STE D",
            "city": "BALDWIN PARK",
            "state": "CA",
            "postal_code": "917064754",
            "telephone_number": "626-962-3500",
            "fax_number": "626-962-3551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 DEL ROSA AVE",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924044442",
            "telephone_number": "909-713-2041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSE LUIS LOPEZ DDS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-06",
        "last_updated": "2024-05-06",
        "certification_date": "2024-05-06",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "LUIS",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "714-429-6734",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Bernardino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2024; 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.