Juan R Lopez, D.D.S

Primary specialty

DentistTaxonomy code 122300000X

License

05022 Issued in OK

Practice address

6941 W Gore Blvd
Lawton, OK 73505-5311

Phone

(580) 536-9647

Fax

(580) 536-4075

NPI assigned

Jun 8, 2007

Sex

Male

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 OK

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 and National Provider Directory roles.

• Juan R Lopez DDS

  • Dentist
  • Lawton, OK
  • NPI 1861650277
  NPD (past)

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

{
    "created_epoch": "1181260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1225231046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6941 W GORE BLVD",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735055311",
            "telephone_number": "580-536-9647",
            "fax_number": "580-536-4075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6941 W GORE BLVD",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735055311",
            "telephone_number": "580-536-9647",
            "fax_number": "580-536-4075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "JUAN",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OK",
            "license": "05022",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia Lookabill
• John C Loose, D.O.
• Emily Lopez
• Eric David Lopez, DDS
• Hortencia Lopez
• Kathryn Denise Lopez, LPN
• Melinda Lopez, LBP
• Michelen Lopez
• San Juanita Lopez, BS
• Michael Alan Lorentz I

• Dentist in Lawton, OK
• Providers in Lawton, OK by specialty
• Dentist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.