Raquel Lisbet Lopez, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

049156 Issued in NY

Practice address

1247 Suffolk Ave Ste 2
Brentwood, NY 11717-4518

Phone

(631) 434-7156

NPI assigned

Jan 7, 2016

Sex

Female

Sole proprietor

No

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

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.

• Raquel L Lopez DDS Family Dentistry P.C

  • General Practice Dentistry
  • Brentwood, NY
  • NPI 1316102585
  NPD (past) Authorized official

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

{
    "created_epoch": "1452124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452124800000",
    "number": "1225494180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47 CILIOTTA LN",
            "city": "PORT JEFFERSON STATION",
            "state": "NY",
            "postal_code": "117763435",
            "telephone_number": "516-380-1441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1247 SUFFOLK AVE STE 2",
            "city": "BRENTWOOD",
            "state": "NY",
            "postal_code": "117174518",
            "telephone_number": "631-434-7156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "RAQUEL",
        "middle_name": "LISBET",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-07",
        "last_updated": "2016-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "049156",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samira Lopez Johnson, LMSW
• Melissa Lopez Martinez
• Giovanni Lopez, FNP, BC, LAC.
• Jessica Lopez
• Patricia Lopez, NP
• Susan Angelica Lopez, SA-C
• Yasmin Lopez
• Liz Lorenzo
• Xiomara Alejandra Lugo Traylor, R.N.
• Luna Licensed Mental Health Counseling, PLLC

• General Practice Dentistry in Brentwood, NY
• Providers in Brentwood, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2016; 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.