Individual provider Active NPI

Marisol Lopez-Belio, DDS

  • General Practice Dentistry
  • Wellington, FL
National Provider Identifier
1265610968
Registry record updated Feb 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN012014 Issued in FL
Practice address
1200 Corporate Center Way Ste 101
Wellington, FL 33414-2108
Phone
(561) 791-8184
Fax
(561) 791-0192
NPI assigned
Feb 5, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 5, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN012014 FL Primary

Addresses

Primary practice location

1200 Corporate Center Way Ste 101
Wellington, FL 33414-2108

Mailing address

1200 Corporate Center Way Ste 101
Wellington, FL 33414-2108
Phone (561) 791-8184

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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

Enrollment IDStateProvider typePAC IDDetails
I20150604002258 FL Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 9931420726

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN012014FLMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Marisol Lopez-Belio PA CurrentSince Apr 15, 1992 Accepting new patients

Locations

1200 Corporate Center Way
Ste 101
Wellington, FL 33414
Phone (561) 791-8184

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1202169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202169600000",
    "number": "1265610968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 CORPORATE CENTER WAY STE 101",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334142108",
            "telephone_number": "561-791-8184",
            "fax_number": "561-791-0192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 CORPORATE CENTER WAY STE 101",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334142108",
            "telephone_number": "561-791-8184",
            "fax_number": "561-791-0192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ-BELIO",
        "first_name": "MARISOL",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-02-05",
        "last_updated": "2008-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN012014",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wellington, FL

Sources for this page

Verify at the official NPI Registry.