Juan Guillermo Lopez DMD DDS PA

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

JUAN GUILLERMO LOPEZ DMD DDS PA

Doing business as

Calima Dental Care

Practice address

13300 S Cleveland Ave Ste 46
Fort Myers, FL 33907-3883

Phone

(239) 768-1011

Fax

(239) 768-9311

NPI assigned

Oct 24, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Juan Guillermo Lopez, DMD, PANPI 1447281720

Title

Owner

Phone

(239) 768-1011

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Calima Dental Care Doing business as

Electronic endpoints 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Juan G Lopez, DDS, DMD

  • Oral and Maxillofacial Surgery (Dentist)
  • Coral Springs, FL
  • NPI 1447281720
  NPD Authorized official

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

{
    "created_epoch": "1666569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666569600000",
    "number": "1124745740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13300 S CLEVELAND AVE STE 46",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339073883",
            "telephone_number": "239-768-1011",
            "fax_number": "239-768-9311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13300 S CLEVELAND AVE STE 46",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339073883",
            "telephone_number": "239-768-1011",
            "fax_number": "239-768-9311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUAN GUILLERMO LOPEZ DMD DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-24",
        "last_updated": "2022-10-24",
        "certification_date": "2022-10-24",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "JUAN",
        "authorized_official_middle_name": "GUILLERMO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "239-768-1011",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD, PA"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL LICENSE",
            "identifier": "DN17696",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI 1",
            "identifier": "1447281720",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.calimadentalcare.com",
            "affiliation": "N",
            "endpointDescription": "website",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "13300 S Cleveland Ave Ste 46",
            "city": "Fort Myers",
            "state": "FL",
            "country_code": "US",
            "postal_code": "339073883",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Calima Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Joann Goring Journigan, M.D.
• Michael J. Joyce, MD
• Joyful Medical Center, Corp
• JS Anesthesia Inc
• JTJ Medical Supply, Inc. (Mail Meds Clinical Pharmacy)
• Juan J Carrere MD LLC
• Thomas Aaron Judd, O.D.
• Judy Sicilia, PSYD, PA
• Pallavi Jugale
• Michael Monroe Jugan, D.O.

• Dental Clinic/Center in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Dental Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2022; 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.