NPIMap

Organization Active NPI

Gilberto Lopez DDS Inc

Doing business as New Smile Dental

  • Dental Clinic/Center
  • Fort Smith, AR
National Provider Identifier
1902068018
Registry record updated Jun 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
3501 Issued in AR
Legal business name
GILBERTO LOPEZ DDS INC
Doing business as
New Smile Dental
Practice address
1021 S 21St St
Fort Smith, AR 72901-4007
Phone
(479) 434-4277
Fax
(479) 434-4279
NPI assigned
Jun 30, 2008
Last updated
Jun 30, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2008

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

Authorized official

Name
Gilberto LopezNPI 1245392653
Title
DDS
Phone
(479) 434-4277

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 3501 AR Primary

Addresses

Primary practice location

1021 S 21St St
Fort Smith, AR 72901-4007

Mailing address

1021 S 21St St
Fort Smith, AR 72901-4007
Phone (479) 434-4277

Other identifiers 1

IdentifierTypeStateIssuer
167913631MedicaidAR

Other names 1

  • New Smile Dental Doing business as

National Provider Directory

National Provider Directory

Locations

1021 S 21st St
Fort Smith, AR 72901
Phone (479) 434-4277

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1214784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214784000000",
    "number": "1902068018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1021 S 21ST ST",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729014007",
            "telephone_number": "479-434-4277",
            "fax_number": "479-434-4279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1021 S 21ST ST",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729014007",
            "telephone_number": "479-434-4277",
            "fax_number": "479-434-4279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GILBERTO LOPEZ DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-30",
        "last_updated": "2008-06-30",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "GILBERTO",
        "authorized_official_title_or_position": "DDS",
        "authorized_official_telephone_number": "479-434-4277"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "AR",
            "license": "3501",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "167913631",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "New Smile Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Smith, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2008; 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.