Organization Active NPI

Joseph M Lopez MD PC

  • Family Medicine Physician
  • Fort Collins, CO
National Provider Identifier
1104910181
Registry record updated Sep 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
JOSEPH M LOPEZ MD PC
Practice address
1136 E Stuart St
Suite 4202
Ft Collins, CO 80525
Phone
(970) 221-5925
Fax
(970) 221-5012
NPI assigned
Oct 3, 2006
Last updated
Sep 18, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2008

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

Authorized official

Name
Joseph M Lopez, MD
Title
President
Phone
(970) 221-5925

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

1136 E Stuart St
Suite 4202
Ft Collins, CO 80525

Mailing address

1136 E Stuart St
Suite 4202
Ft Collins, CO 80525
Phone (970) 221-5925

Other identifiers 10

IdentifierTypeStateIssuer
120085BFOtherPREFERRED ADMINISTRATIVE
33143OtherANTHEM BC BS
55181OtherFEDERA BC BS
010011909OtherCORAILROAD MEDICARE
01252378MedicaidCO
0135688OtherMAIL HANDLERS BENEFIT PLA
C09900002163OtherSIERRA HEALTH & LIFE
PR32757550001OtherCIGNA HEALTHCARE
0004586257OtherAETNA
000585011OtherAPWU HEALTH PLAN

National Provider Directory

National Provider Directory

Locations

1136 E Stuart St
Ste 4202
Fort Collins, CO 80525
Phone (970) 221-5925

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221696000000",
    "number": "1104910181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1136 E STUART ST",
            "address_2": "SUITE 4202",
            "city": "FT COLLINS",
            "state": "CO",
            "postal_code": "80525",
            "telephone_number": "970-221-5925",
            "fax_number": "970-221-5012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1136 E STUART ST",
            "address_2": "SUITE 4202",
            "city": "FT COLLINS",
            "state": "CO",
            "postal_code": "80525",
            "telephone_number": "970-221-5925",
            "fax_number": "970-221-5012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPH M LOPEZ MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2008-09-18",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "970-221-5925",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED ADMINISTRATIVE",
            "identifier": "120085BF",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC BS",
            "identifier": "33143",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERA BC BS",
            "identifier": "55181",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "010011909",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01252378",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAIL HANDLERS BENEFIT PLA",
            "identifier": "0135688",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SIERRA HEALTH & LIFE",
            "identifier": "C09900002163",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA HEALTHCARE",
            "identifier": "PR32757550001",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "0004586257",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APWU HEALTH PLAN",
            "identifier": "000585011",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Collins, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2008; 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.