Individual provider Active NPI

Norkis Lopez del Rio, DDS

  • General Practice Dentistry
  • Jacksonville, FL
National Provider Identifier
1265588644
Registry record updated Mar 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN17581 Issued in FL
Practice address
8613 Old Kings Rd S
# 301
Jacksonville, FL 32217-4807
Phone
(904) 731-3889
Fax
(904) 731-3912
NPI assigned
Jan 26, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 21, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN17581 FL Primary
General Practice Dentistry 1223G0001X 52422 CA

Addresses

Primary practice location

8613 Old Kings Rd S
# 301
Jacksonville, FL 32217-4807

Mailing address

8613 Old Kings Rd S
# 301
Jacksonville, FL 32217-4807
Phone (904) 731-3889

Other names 1

  • Norkis Lopez del Rio Professional name

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
52422CAMDMarriage & Family Therapist
DN17581FLMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206057600000",
    "number": "1265588644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8613 OLD KINGS RD S",
            "address_2": "# 301",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322174807",
            "telephone_number": "904-731-3889",
            "fax_number": "904-731-3912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8613 OLD KINGS RD S",
            "address_2": "# 301",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322174807",
            "telephone_number": "904-731-3889",
            "fax_number": "904-731-3912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ DEL RIO",
        "first_name": "NORKIS",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-26",
        "last_updated": "2008-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN17581",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "52422",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NORKIS",
            "last_name": "LOPEZ DEL RIO",
            "credential": "DDS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2008; 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.