Jennifer M Lopez, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

DN21443 Issued in FL

Practice address

260 95TH St
Suite 202
Surfside, FL 33154-2807

Phone

(305) 865-0453

NPI assigned

Apr 2, 2015

Last updated

Nov 18, 2016By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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

• Yamo Inc

  • Dental Clinic/Center
  • Surfside, FL
  • NPI 1407479033
  NPD (past)

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

{
    "created_epoch": "1427932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479427200000",
    "number": "1134514466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 95TH ST",
            "address_2": "SUITE 202",
            "city": "SURFSIDE",
            "state": "FL",
            "postal_code": "331542807",
            "telephone_number": "305-865-0453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 95TH ST",
            "address_2": "SUITE 202",
            "city": "SURFSIDE",
            "state": "FL",
            "postal_code": "331542807",
            "telephone_number": "305-865-0453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "JENNIFER",
        "middle_name": "M",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-04-02",
        "last_updated": "2016-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN21443",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Judith Kaplan, C.N.M., A.R.N.P.
• Carmen Rosa Kennedy, PTA
• Noel E Lastre Mendoza
• Erika Eunice Lawrence Robinson
• Mera Levin, OTRL
• Lovecareresearch
• Samuel Eugene Maya
• Adrienne Michaels, LCSW
• Ileana Modelo, ARNP
• Andrea Lee Munoz, OTR

• Dentist in Surfside, FL
• Providers in Surfside, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.