DR. VIVIAN FERNANDE LOPEZ D.D.S.
NPI 1104957075
Dentist - Pediatric Dentistry in Berkeley, CA

Active since March 09, 2007
2821 TELEGRAPH AVE, BERKELEY, CA 94705(510) 848-4430(510) 845-3834 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Vivian Fernande Lopez D.d.s. NPPES

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

DR. VIVIAN FERNANDE LOPEZ D.D.S. (NPI 1104957075) is an individual pediatric dentistry provider in Berkeley, California, licensed in California (29355) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1104957075
Entity TypeIndividualFemale
Primary Taxonomy1223P0221X
Provider Legal NameDR. VIVIAN FERNANDE LOPEZCredential: D.D.S.
Location Address2821 TELEGRAPH AVEBerkeley, CA 94705-1118
Mailing Address2821 Telegraph AveBerkeley, CA 94705-1118 · (510) 848-4430 · Fax (510) 845-3834
Fax(510) 845-3834
Sole ProprietorYes
Enumeration DateMarch 9, 2007
Last NPPES UpdateJuly 9, 2007
NPI 1104957075 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License Licensed in CA · 29355
Definition
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.
2821 TELEGRAPH AVE, Berkeley, CA 94705

Other Identifiers 1

MedicaidB29355CA

Other Providers at the Same Location NPPES 2

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

Dentist
2821 TELEGRAPH AVE
BERKELEY, CA 94705
Dentist (General Practice)
2821 TELEGRAPH AVE
BERKELEY, CA 94705

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 Vivian Lopez's NPI number?

The NPI number for Vivian Lopez is 1104957075. It was assigned to this individual provider in the NPPES registry on March 9, 2007.

Where is Vivian Lopez located?

Vivian Lopez practices at 2821 Telegraph Ave, Berkeley, CA 94705. The listed phone number is (510) 848-4430.

What is Vivian Lopez's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

When was this NPI record last updated?

The NPPES record for Vivian Lopez was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years 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.