Individual provider Active NPI

Dennis D Lopez, CBHCMS

  • Social Worker
  • Cape Coral, FL
National Provider Identifier
1104497353
Registry record updated Jul 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Practice address
2804 Del Prado Blvd S Ste 106
Cape Coral, FL 33904-7219
Phone
(239) 540-9555
Fax
(239) 549-0875
NPI assigned
Jul 8, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X Primary

Addresses

Primary practice location

2804 Del Prado Blvd S Ste 106
Cape Coral, FL 33904-7219

Mailing address

2804 Del Prado Blvd S Ste 106
Cape Coral, FL 33904-7219
Phone (239) 540-9555

Other practice location 1

7270 NW 12th St Ste 620
Miami, FL 33126-1943
Phone (813) 900-3356

Other identifiers 1

IdentifierTypeStateIssuer
106616400MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tcm@tcmqualityservices.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
TCM Quality Services,Inc Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1625702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625702400000",
    "number": "1104497353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2804 DEL PRADO BLVD S STE 106",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339047219",
            "telephone_number": "239-540-9555",
            "fax_number": "239-549-0875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2804 DEL PRADO BLVD S STE 106",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339047219",
            "telephone_number": "239-540-9555",
            "fax_number": "239-549-0875"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7270 NW 12th St Ste 620",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331261943",
            "country_code": "US",
            "telephone_number": "813-900-3356",
            "fax_number": "305-503-7143",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "DENNIS",
        "middle_name": "D",
        "credential": "CBHCMS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-07-08",
        "last_updated": "2021-07-08",
        "certification_date": "2021-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "106616400",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tcm@tcmqualityservices.com",
            "affiliation": "N",
            "address_1": "2804 Del Prado Blvd S Ste 106",
            "city": "Cape Coral",
            "state": "FL",
            "country_code": "US",
            "postal_code": "339047219",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cape Coral, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.