Active NPI
Alex Diaz Lopez, DDS
- Periodontics
- Newbury Park, CA
National Provider Identifier
1992969893
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- 44012
- Practice address
- 2814 Camino Dos Rios Ste 401
Newbury Park, CA 91320-1161 - Phone
- (805) 375-2499
- Fax
- (805) 375-8642
- NPI assigned
- Jul 10, 2008
- 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 |
|---|---|---|---|---|
| Periodontics | 1223P0300X | 44012 | CA | Primary |
Addresses
Primary practice location
2814 Camino Dos Rios Ste 401
Newbury Park, CA 91320-1161
Mailing address
2814 Camino Dos Rios Ste 401
Newbury Park, CA 91320-1161
Phone (805) 375-2499
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 |
|---|---|---|---|
| 44012 | CA | MD | Periodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1215648000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1393200000000",
"number": "1992969893",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2814 CAMINO DOS RIOS STE 401",
"city": "NEWBURY PARK",
"state": "CA",
"postal_code": "913201161",
"telephone_number": "805-375-2499",
"fax_number": "805-375-8642"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2814 CAMINO DOS RIOS STE 401",
"city": "NEWBURY PARK",
"state": "CA",
"postal_code": "913201161",
"telephone_number": "805-375-2499",
"fax_number": "805-375-8642"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOPEZ",
"first_name": "ALEX",
"middle_name": "DIAZ",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-07-10",
"last_updated": "2014-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "CA",
"license": "44012",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Newbury Park, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.