Individual provider Active NPI

Luz Lopez, DMD

  • Dentist
  • Boone, NC
National Provider Identifier
1841926631
Registry record updated Dec 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
13293 Issued in NC
Practice address
108 Doctors Dr
Boone, NC 28607-5000
Phone
(828) 262-4651
Fax
(828) 386-1773
NPI assigned
Jul 25, 2022
Last updated
Dec 14, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 14, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 13293 NC Primary

Addresses

Primary practice location

108 Doctors Dr
Boone, NC 28607-5000

Mailing address

PO Box 1490
Boone, NC 28607-1490
Phone (828) 262-3886

Other practice location 1

500 E Parker Rd Ste 200
Morganton, NC 28655-5113
Phone (828) 608-9062

Other practice location 2

504 Pineola St
Newland, NC 28657-7604
Phone (828) 742-1018

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240404000858 NC Practitioner - Dentist 9830540731 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
High Country Community Health Dentist CurrentSince Feb 20, 2024 Accepting new patients
High Country Community Health CurrentSince Feb 20, 2024 Accepting new patients
High Country Community Health Dentist Past Accepting new patients

Locations

108 Doctors Dr
Boone, NC 28607
Phone (828) 262-3886

500 E Parker Rd
Ste 200
Morganton, NC 28655
Phone (828) 608-9062

448 Cranberry St
Newland, NC 28657
Phone (828) 737-0221

504 Pineola St
Newland, NC 28657
Phone (828) 608-9062

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JJJEBD

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1658707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702512000000",
    "number": "1841926631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1490",
            "city": "BOONE",
            "state": "NC",
            "postal_code": "286071490",
            "telephone_number": "828-262-3886",
            "fax_number": "828-265-4816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 DOCTORS DR",
            "city": "BOONE",
            "state": "NC",
            "postal_code": "286075000",
            "telephone_number": "828-262-4651",
            "fax_number": "828-386-1773"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 E Parker Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Morganton",
            "state": "NC",
            "postal_code": "286555113",
            "country_code": "US",
            "telephone_number": "828-608-9062",
            "fax_number": "828-742-1024",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "504 Pineola St",
            "address_purpose": "LOCATION",
            "city": "Newland",
            "state": "NC",
            "postal_code": "286577604",
            "country_code": "US",
            "telephone_number": "828-742-1018",
            "fax_number": "828-742-1024",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "LUZ",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-25",
        "last_updated": "2023-12-14",
        "certification_date": "2023-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NC",
            "license": "13293",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boone, NC

Sources for this page

Verify at the official NPI Registry.