Active NPI
Pedro Arturo Lopez Vega, RDH
- Dental Hygienist
- Eagan, MN
National Provider Identifier
1982486254
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- H11639
- Practice address
- 1510 Thomas Lake Pointe Rd Apt 315
Eagan, MN 55122-2536 - Phone
- (952) 649-9972
- NPI assigned
- Oct 19, 2023
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | H11639 | MN | Primary |
Addresses
Primary practice location
1510 Thomas Lake Pointe Rd Apt 315
Eagan, MN 55122-2536
Mailing address
1510 Thomas Lake Pointe Rd Apt 315
Eagan, MN 55122-2536
Phone (952) 649-9972
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 |
|---|---|---|---|
| H11639 | MN | MD | Dental Hygienist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1697673600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1697846400000",
"number": "1982486254",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1510 THOMAS LAKE POINTE RD APT 315",
"city": "EAGAN",
"state": "MN",
"postal_code": "551222536",
"telephone_number": "952-649-9972"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1510 THOMAS LAKE POINTE RD APT 315",
"city": "EAGAN",
"state": "MN",
"postal_code": "551222536",
"telephone_number": "952-649-9972"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOPEZ VEGA",
"first_name": "PEDRO",
"middle_name": "ARTURO",
"credential": "RDH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-10-19",
"last_updated": "2023-10-21",
"certification_date": "2023-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "MN",
"license": "H11639",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Eagan, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.