Active NPI
Joseph M Lopez MD PC
- Family Medicine Physician
- Fort Collins, CO
National Provider Identifier
1104910181
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- 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, 2008
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 120085BF | Other | PREFERRED ADMINISTRATIVE | |
| 33143 | Other | ANTHEM BC BS | |
| 55181 | Other | FEDERA BC BS | |
| 010011909 | Other | CO | RAILROAD MEDICARE |
| 01252378 | Medicaid | CO | |
| 0135688 | Other | MAIL HANDLERS BENEFIT PLA | |
| C09900002163 | Other | SIERRA HEALTH & LIFE | |
| PR32757550001 | Other | CIGNA HEALTHCARE | |
| 0004586257 | Other | AETNA | |
| 000585011 | Other | APWU HEALTH PLAN |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Family Nurse Practitioner
- Fort Collins, CO
- NPI 1720011265
-
- Family Nurse Practitioner
- Cheyenne, WY
- NPI 1265623870
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.