Active NPI
Manuel Lopez, DDS
- Dentist
- Oceanside, CA
National Provider Identifier
1922203835
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 47636
- Practice address
- 219 N Horne St
Oceanside, CA 92054-2808 - Phone
- (760) 685-8130
- NPI assigned
- Jun 19, 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 47636 | CA | Primary |
Addresses
Primary practice location
219 N Horne St
Oceanside, CA 92054-2808
Mailing address
1330 Woodview Dr
Oceanside, CA 92056-2033
Phone (760) 685-8130
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182211200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1455753600000",
"number": "1922203835",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1330 WOODVIEW DR",
"city": "OCEANSIDE",
"state": "CA",
"postal_code": "920562033",
"telephone_number": "760-685-8130",
"fax_number": "760-685-8130"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "219 N HORNE ST",
"city": "OCEANSIDE",
"state": "CA",
"postal_code": "920542808",
"telephone_number": "760-685-8130"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOPEZ",
"first_name": "MANUEL",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-06-19",
"last_updated": "2016-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "47636",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oceanside, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.