Grace Lopez DMD PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

GRACE LOPEZ DMD PA

Practice address

4144 N Federal Hwy
Fort Lauderdale, FL 33308-5531

Phone

(954) 646-0558

NPI assigned

Jul 24, 2017

Organization subpart

No

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

Authorized official

Name

Grace Lopez, DMDNPI 1407101462

Title

President

Phone

(954) 646-0558

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Grace Patricia Lopez, D.M.D.

  • Dentist
  • Weston, FL
  • NPI 1407101462
  NPD (past) Authorized official

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

{
    "created_epoch": "1500854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1500854400000",
    "number": "1164945960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4171 SABAL RIDGE CIR",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333315037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4144 N FEDERAL HWY",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333085531",
            "telephone_number": "954-646-0558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE LOPEZ DMD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-24",
        "last_updated": "2017-07-24",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "GRACE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-646-0558",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tyrese Gowie
• Lav Kumar Goyal, M.D.
• David Gozansky, MD
• Mylissa Graber, MD
• Mateusz J Graca, MD
• Graceful Integrity Home Care, LLC
• Gracepoint Treatment Center Inc.
• Tania Gracia
• Linda Diane Graczyk, ABOC
• Alan Graff, MD

• General Practice Dentistry in Fort Lauderdale, FL
• Providers in Fort Lauderdale, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2017; 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.