Individual provider Active NPI

Jose A Lopez-Reyes, D.M.D.

  • Dentist
  • Topeka, KS
National Provider Identifier
1174695084
Registry record updated Jan 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
7022 Issued in KS
Practice address
3164 SE 6TH Ave
Topeka, KS 66607-2204
Phone
(785) 233-2800
NPI assigned
Nov 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 7022 KS Primary

Addresses

Primary practice location

3164 SE 6TH Ave
Topeka, KS 66607-2204

Mailing address

838 N Crescent Lakes CT
Andover, KS 67002-9355
Phone (316) 440-9734

Other identifiers 1

IdentifierTypeStateIssuer
100390900AMedicaidKS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
7022KSMDDentist

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/282ac7c4-9db7-44ff-9e15-9477722bfca6/

NPI Registry JSON

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1232496000000",
    "number": "1174695084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "838 N CRESCENT LAKES CT",
            "city": "ANDOVER",
            "state": "KS",
            "postal_code": "670029355",
            "telephone_number": "316-440-9734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3164 SE 6TH AVE",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666072204",
            "telephone_number": "785-233-2800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ-REYES",
        "first_name": "JOSE",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-15",
        "last_updated": "2009-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "KS",
            "license": "7022",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100390900A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Topeka, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2009; 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.