Individual provider Active NPI

Nayef Omar Serhan Lopez, D.M.D

  • General Practice Dentistry
  • Miami, FL
National Provider Identifier
1184282550
Registry record updated May 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN24107 Issued in FL
Practice address
2055 SW 122ND Ave Apt 125
Miami, FL 33175-7300
Phone
(786) 304-6678
NPI assigned
May 31, 2019
Last updated
May 31, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 31, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN24107 FL Primary

Addresses

Primary practice location

2055 SW 122ND Ave Apt 125
Miami, FL 33175-7300

Mailing address

2055 SW 122ND Ave Apt 125
Miami, FL 33175-7300

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
DN24107FLMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Royal Dentistry Studio LLC Current Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1559260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559260800000",
    "number": "1184282550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2055 SW 122ND AVE APT 125",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331757300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2055 SW 122ND AVE APT 125",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331757300",
            "telephone_number": "786-304-6678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SERHAN LOPEZ",
        "first_name": "NAYEF",
        "middle_name": "OMAR",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-05-31",
        "last_updated": "2019-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN24107",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2019; 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.