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ALEXANDRA LOPEZ DMD
NPI 1063302230
Dentist in Green Valley, AZ

Active since July 08, 2025PECOS Enrolled
18779 S NOGALES HWY, GREEN VALLEY, AZ 85614(520) 625-4850 Get Directions Write a Review

NPPES record last updated: July 8, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Alexandra Lopez Dmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ALEXANDRA LOPEZ DMD (NPI 1063302230) is an individual dentist in Green Valley, Arizona, licensed in Arizona (D012586) and active in the NPI registry since July 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1063302230
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameALEXANDRA LOPEZCredential: DMD
Location Address18779 S NOGALES HWYGreen Valley, AZ 85614-0400
Mailing Address20 S Stone Ave Apt 403Tucson, AZ 85701-0005
Phone(520) 625-4850
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateJuly 8, 2025
NPPES CertifiedJuly 8, 2025
✔ NPI 1063302230 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in AZ · D012586
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
18779 S NOGALES HWY, Green Valley, AZ 85614
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Humana.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Alexandra Lopez Dmd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5395240659
PECOS Enrollment IDI20260323000792
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85614 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$69.24 typical visit price
range $17.72 – $137.41
Typical copayment $17.31 (range $4.43 – $34.35)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. HAILEY YEONJI NOH DMD
Dentist
18779 S NOGALES HWY
GREEN VALLEY, AZ 85614
Pima County (520) 625-4850

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Alexandra Lopez's NPI number?

The NPI number for Alexandra Lopez is 1063302230. It was assigned to this individual provider in the NPPES registry on July 8, 2025.

Where is Alexandra Lopez located?

Alexandra Lopez practices at 18779 S Nogales Hwy, Green Valley, AZ 85614. The listed phone number is (520) 625-4850.

What is Alexandra Lopez's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Alexandra Lopez enrolled in Medicare?

Yes. Alexandra Lopez is registered in the Medicare PECOS enrollment system.

What insurance does Alexandra Lopez accept?

Health plans from Humana list Alexandra Lopez as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Alexandra Lopez was last updated on July 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.