Miguel Angel Garcia Lopez, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D15075 Issued in MN

Practice address

1670 Beam Ave Ste 204
Maplewood, MN 55109-1227

Phone

(651) 925-8400

NPI assigned

May 30, 2024

Last updated

May 30, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Community Dental Care Inc

  • General Practice Dentistry
  • Buffalo, MN
  • NPI 1275280810
  NPD

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

{
    "created_epoch": "1717027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717027200000",
    "number": "1881434496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 26TH AVE SE UNIT 512",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554144329",
            "telephone_number": "763-300-1741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1670 BEAM AVE STE 204",
            "city": "MAPLEWOOD",
            "state": "MN",
            "postal_code": "551091227",
            "telephone_number": "651-925-8400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARCIA LOPEZ",
        "first_name": "MIGUEL",
        "middle_name": "ANGEL",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-05-30",
        "last_updated": "2024-05-30",
        "certification_date": "2024-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "D15075",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Frank Galatowitsch, MD
• Kevin Gale, MD
• Carol T Gallivan, RN
• Kathleen F Gams, CRNA
• Zamzam Garad
• Oliver Garrison, M.D.
• Rachel Lynn Gates, CNM
• Judith Gauthier, PHARM D
• Miessa Gemeda
• Anne Mary Martens Gerber, M.S., SLP

• General Practice Dentistry in Maplewood, MN
• Providers in Maplewood, MN by specialty
• General Practice Dentistry in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 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.