ANGEL RAY LOPEZ
NPI 1790246015
Dentist - Pediatric Dentistry in Elizabethtown, KY

Active since March 28, 2019PECOS Enrolled
151 DREXLER CIR, ELIZABETHTOWN, KY 42701(270) 942-1277(859) 554-0278 Get Directions Write a Review

NPPES record last updated: June 8, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 8, 2021, Jul 28, 2020, Apr 17, 2019 (3 updates tracked since 2019).

About Angel Ray Lopez NPPES

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

ANGEL RAY LOPEZ (NPI 1790246015) is an individual pediatric dentistry provider in Elizabethtown, Kentucky, licensed in Kentucky (10616) and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS and maintains a secondary practice location in Cincinnati.

NPPES Registry Identity

NPI1790246015
Entity TypeIndividualMale
Primary Taxonomy1223P0221X
Provider Legal NameANGEL RAY LOPEZ
Location Address151 DREXLER CIRElizabethtown, KY 42701-7843
Mailing Address151 Drexler CirElizabethtown, KY 42701-7843 · (270) 942-1277 · Fax (859) 554-0278
Fax(859) 554-0278
Sole ProprietorNo
Enumeration DateMarch 28, 2019
Last NPPES UpdateJune 8, 20213 updates tracked since enumeration
NPPES CertifiedJune 8, 2021
NPI 1790246015 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License Licensed in KY · 10616
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.

Also ListedDentistTaxonomy 122300000X · License 30.026059 (OH)
Also ListedDentist · General PracticeTaxonomy 1223G0001X · License 30.026059 (OH)
151 DREXLER CIR, Elizabethtown, KY 42701

Secondary Practice Location 1

Location 13333 Burnet AveCincinnati, OH 45229-3026 · Phone (513) 636-4641

Accepted 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)

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

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 42701 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$66.24 typical visit price
range $16.53 – $131.99
Typical copayment $16.56 (range $4.13 – $32.99)
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 6

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

Social Worker (Clinical)
151 DREXLER CIR
ELIZABETHTOWN, KY 42701
Social Worker (Clinical)
151 DREXLER CIR
ELIZABETHTOWN, KY 42701
Social Worker (Clinical)
151 DREXLER CIR, SUITE 1
ELIZABETHTOWN, KY 42701
Dentist (Pediatric Dentistry)
151 DREXLER CIR
ELIZABETHTOWN, KY 42701
Dentist
151 DREXLER CIR
ELIZABETHTOWN, KY 42701
Nurse Practitioner (Psychiatric/Mental Health)
151 DREXLER CIR, STE 1
ELIZABETHTOWN, KY 42701

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 Angel Lopez's NPI number?

The NPI number for Angel Lopez is 1790246015. It was assigned to this individual provider in the NPPES registry on March 28, 2019.

Where is Angel Lopez located?

Angel Lopez practices at 151 Drexler Cir, Elizabethtown, KY 42701. The listed phone number is (270) 942-1277.

What is Angel Lopez's specialty?

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

Is Angel Lopez enrolled in Medicare?

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

What insurance does Angel Lopez accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 5 other insurers list Angel 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 Angel Lopez was last updated on June 8, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.