Elssy Carolynne Lopez, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN23728 Issued in FL

Practice address

6416 Arlington Rd
Jacksonville, FL 32211-5411

Phone

(904) 701-3883

NPI assigned

Feb 28, 2018

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Networks

• Freedom Health HMO Network

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

• Ecuadental PLLC

  • General Practice Dentistry
  • Jacksonville, FL
  • NPI 1386525798
  NPD Authorized official
• NLD Specialists PLLC

  • Endodontics
  • Jacksonville, FL
  • NPI 1891599965

  General Practice

  NPD (past)
• Normandy Dentistry

  • General Practice Dentistry
  • Jacksonville, FL
  • NPI 1306891213
  NPD (past)

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

{
    "created_epoch": "1519776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606953600000",
    "number": "1215439757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6416 ARLINGTON RD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322115411",
            "telephone_number": "904-701-3883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6416 ARLINGTON RD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322115411",
            "telephone_number": "904-701-3883"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1329 Lane Ave S",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322056144",
            "country_code": "US",
            "telephone_number": "904-683-0415",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "ELSSY",
        "middle_name": "CAROLYNNE",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-02-28",
        "last_updated": "2020-12-03",
        "certification_date": "2020-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN23728",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alfredo Lopez-Estrada
• Albert Arthur Lopez Jr., D.O.
• Andres Lopez, MD
• Claudio Varone Lopez
• Ellen E Lopez, APRN
• Erlinda Varone Lopez
• Evelyn Lopez
• Heather L Lopez, OTR/L, CHT
• Ivelisse Socorro Lopez, P.T.
• Jaliece Lopez

• General Practice Dentistry in Jacksonville, FL
• Providers in Jacksonville, 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 Dec 3, 2020; 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.