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DR. MARISA ANN LOPEZ DMD
NPI 1972844264
Dentist - Pediatric Dentistry in Charlotte, NC

Active since March 12, 2013
11835 SOUTHMORE DR STE 201, CHARLOTTE, NC 28277(973) 941-2614 Get Directions Write a Review

NPPES record last updated: February 28, 2023. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Feb 28, 2023, Jan 19, 2023, Jan 10, 2023 and 1 more (4 updates tracked since 2016).

About Dr. Marisa Ann Lopez Dmd NPPES

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

DR. MARISA ANN LOPEZ DMD (NPI 1972844264) is an individual pediatric dentistry provider in Charlotte, North Carolina, licensed in North Carolina (12699) and active in the NPI registry since March 2013.

NPPES Registry Identity

NPI1972844264
Entity TypeIndividualFemale
Primary Taxonomy1223P0221X
Provider Legal NameDR. MARISA ANN LOPEZCredential: DMD
Location Address11835 SOUTHMORE DR STE 201Charlotte, NC 28277-4820
Mailing Address98 Pancake Hollow DrWayne, NJ 07470-3205
Phone(973) 941-2614
Sole ProprietorYes
Enumeration DateMarch 12, 2013
Last NPPES UpdateFebruary 28, 20234 updates tracked since enumeration
NPPES CertifiedFebruary 28, 2023
✔ NPI 1972844264 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
Licenses✔ Licensed in NC · 12699✔ Licensed in NY · 0581951
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 ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
11835 SOUTHMORE DR STE 201, Charlotte, NC 28277
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of NC, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

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 Marisa Lopez's NPI number?

The NPI number for Marisa Lopez is 1972844264. It was assigned to this individual provider in the NPPES registry on March 12, 2013.

Where is Marisa Lopez located?

Marisa Lopez practices at 11835 Southmore Dr Ste 201, Charlotte, NC 28277. The listed phone number is (973) 941-2614.

What is Marisa Lopez's specialty?

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

What insurance does Marisa Lopez accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of NC, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Humana and 1 other insurer list Marisa 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 Marisa Lopez was last updated on February 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.