SERGIO E LOPEZ, DDS, PEDIATRIC DENTISTRY, PLLC (NPI# 1104207653) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104207653 |
| Entity Type | Organization |
| Organization Name | SERGIO E LOPEZ, DDS, PEDIATRIC DENTISTRY, PLLC |
| Practice Address |
1507 South Mccoll Road Edinburg TX 78541 |
| Mailing Address |
4217 Colbath Ave Apt. 330-b Mcallen TX 78503 |
| Practice Telephone | 9562123662 |
| Mailing Telephone | 9562123662 |
| Enumeration Date | 2015-06-10 |
| Last Update Date | 2015-06-10 |
| Authorized Official Name | DR. SERGIO ENRIQUE LOPEZ (OWNER/PEDIATRIC DENTIST) |
| Authorized Official Telephone | 9562123662 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
27129 | TX | Dental Providers |
| Street Address |
1507 SOUTH MCCOLL ROAD |
| City | EDINBURG |
| State | TX |
| Zip Code | 78541 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023649670 | Andrea Vargas-garcia | Dentist | 1507 S. Mccoll Rd, Edinburg, TX 78541 | 2020-02-03 |
| 1497307607 | Nice View Home Care,llc. | Technician | 13418 N. Deport Rd., Edinburg, TX 78541 | 2019-07-09 |
| 1639632177 | Dulce Tranquilidad Home Care, LLC | Technician | 13217 Los Terrazos Blvd., Edinburg, TX 78541 | 2019-04-11 |
| 1073095527 | Erika Cadena | Technician | 13217 Los Terrazos Blvd, Edinburg, TX 78541 | 2018-08-31 |
| 1568943652 | Max Joseph Garza I | Speech-Language Pathologist | 1126 W Montecristo Rd, Edinburg, TX 78541 | 2018-08-27 |
| 1396250650 | Municipal Emergency Medicine Associates, Pa | Physician Assistant | 3615 N. Interstate 69c, Edinburg, TX 78541 | 2017-12-08 |
| 1598283764 | Super Kiddos Home Health | Home Health | 1718 N Closner Blvd, Ste. D, Edinburg, TX 78541 | 2017-09-07 |
| 1770026064 | Chuck Reid | Counselor | 108 N. Jackson Rd, Suite 32, Edinburg, TX 78541 | 2016-11-18 |
| 1700236411 | Andrea Chilcote | Specialist/Technologist | 1620 Phoenix Street Apt 4, Edinburg, TX 78541 | 2016-06-14 |
| 1225425267 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 103 W Monte Cristo Rd, Edinburg, TX 78541 | 2015-04-16 |
| Find all providers in zip 78541 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174952626 | Trenton Dental Specialties P.a. | Dentist | 2521 W. Trenton Rd., Edinburg, TX 78539 | 2013-11-05 |
| 1568757219 | Mohammed Ahmed Subhani | Dentist | 1601 W Trenton Rd, Suite J, Edinburg, TX 78539 | 2011-06-10 |
| 1801198437 | Smile Station Pediatric Dentistry, Pllc | Dentist | 5011 S. Mccoll, Edinburg, TX 78539 | 2010-12-02 |
| 1003897257 | Patrick B Wilcox | Dentist | 2501 Cornerstone Blvd, Edinburg, TX 78539-8463 | 2005-11-07 |
| 1023523172 | Ana Elena Tijerina Lomeli | Dentist | 2501 Cornerstone Blvd, Edinburg, TX 78539 | 2017-12-12 |
| 1902218845 | Stephen James Siedow | Dentist | 2821 Michaelangelo Dr Ste 202, Edinburg, TX 78539-1406 | 2014-05-27 |
| 1164528147 | Valeria Kresevic | Dentist | 2501 Cornerstone Blvd, Edinburg, TX 78539 | 2006-09-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326647454 | Memorial Dentistry for Kids Pllc | Dentist | 14090 Memorial Dr, Houston, TX 77079-6848 | 2020-10-20 |
| 1497362651 | Munal Dental Pllc | Dentist | 2921 N Fm 1417 Ste 100, Sherman, TX 75092-3559 | 2020-09-30 |
| 1467069880 | Unique Kids Pediatric Dentistry, Pllc | Dentist | 22118 Market Place Dr Ste 500, New Caney, TX 77357-2165 | 2020-09-29 |
| 1104438092 | Sarah Al Kukash | Dentist | 2536 Amherst St Ste A, Houston, TX 77005-3207 | 2020-08-20 |
| 1295344679 | Bulverde Dental Specialist Pllc | Dentist | 22103 Bulverde Rd Ste 108, San Antonio, TX 78259-1855 | 2020-07-30 |
| 1174132559 | Previcare, Pllc | Dentist | 2006 W Campbell Rd Ste 300, Garland, TX 75044-2315 | 2020-07-30 |
| 1386252088 | Saba Saleem Tareen | Dentist | 1503 Royal Ln, Colleyville, TX 76034-5585 | 2020-07-19 |
| 1306454178 | Susan Roberts Pediatric Dentistry Pllc | Dentist | 5411 Basswood Blvd Ste 201, Fort Worth, TX 76137-4479 | 2020-07-17 |
| 1316564990 | Ikids Pediatric Dentistry Lakewood, Pllc | Dentist | 2011 Abrams Parkway, Dallas, TX 75214 | 2020-06-30 |
| 1316563497 | Woodlands Pediatric Dentistry PC | Dentist | 4850 W Panther Creek Dr Ste 102, The Woodlands, TX 77381-3595 | 2020-06-24 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.