ALEXANDRA LOPEZ DMD
NPI 1063302230
Dentist in Green Valley, AZ

Q: 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.

Q: What is Alexandra Lopez's specialty?

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

Q: 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 15 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.

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: October 25, 2026.

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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 Ambetter from Arizona Complete Health, Ambetter Health, Blue Cross and Blue Shield of Montana and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show Alexandra Lopez reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mountain Park Health Center

119 mi

Federally Qualified Health Center (FQHC)

635 E. BASELINE RD.
Phoenix, AZ 85042

Reassigned Medicare billing, Arizona enrollment
166 clinicians in this Medicare group

NPI 1558308825 (602) 243-7277

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Which organization bills Medicare for Alexandra Lopez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Alexandra Lopez reassigns Medicare benefits to Mountain Park Health Center (Phoenix, AZ). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Alexandra Lopez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Alexandra Lopez accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 6 other insurers 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 15 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.