Active NPI
Abdiel Lopez, D.M.D.
- General Practice Dentistry
- Dallas, TX
National Provider Identifier
1790835692
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 32622
- Practice address
- 3030 LBJ Fwy
Suite 1400
Dallas, TX 75234-7781 - Phone
- (972) 663-5373
- Fax
- (972) 243-6059
- NPI assigned
- Jan 11, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 32622 | TX | Primary |
Addresses
Primary practice location
3030 LBJ Fwy
Suite 1400
Dallas, TX 75234-7781
Mailing address
11718 E Streamertail Cir
Cypress, TX 77433-6732
Phone (787) 627-6215
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 |
|---|---|---|---|
| 32622 | TX | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168473600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1486080000000",
"number": "1790835692",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11718 E STREAMERTAIL CIR",
"city": "CYPRESS",
"state": "TX",
"postal_code": "774336732",
"telephone_number": "787-627-6215"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3030 LBJ FWY",
"address_2": "SUITE 1400",
"city": "DALLAS",
"state": "TX",
"postal_code": "752347781",
"telephone_number": "972-663-5373",
"fax_number": "972-243-6059"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOPEZ",
"first_name": "ABDIEL",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-11",
"last_updated": "2017-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "32622",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 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.