Active NPI
Brett Lopez, DMD
- General Practice Dentistry
- Louisville, CO
National Provider Identifier
1255588992
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 10679
- Practice address
- 1760 Centennial Dr
Louisville, CO 80027-1302 - Phone
- (303) 665-7505
- Fax
- (303) 664-9941
- NPI assigned
- Aug 25, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 10679 | CO | Primary |
Addresses
Primary practice location
1760 Centennial Dr
Louisville, CO 80027-1302
Mailing address
1760 Centennial Dr
Louisville, CO 80027-1302
Phone (303) 665-7505
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
| License | State | Type | Specialty |
|---|---|---|---|
| 10679 | CO | MD | Orthopedic Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219622400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1336003200000",
"number": "1255588992",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1760 CENTENNIAL DR",
"city": "LOUISVILLE",
"state": "CO",
"postal_code": "800271302",
"telephone_number": "303-665-7505",
"fax_number": "303-664-9941"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1760 CENTENNIAL DR",
"city": "LOUISVILLE",
"state": "CO",
"postal_code": "800271302",
"telephone_number": "303-665-7505",
"fax_number": "303-664-9941"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOPEZ",
"first_name": "BRETT",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-08-25",
"last_updated": "2012-05-03",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CO",
"license": "10679",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Louisville, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.