Active NPI
Lucas G Eliopoulos, DMD
- Dentist
- Cape Coral, FL
National Provider Identifier
1306462494
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN25366
- Practice address
- 305 SW Pine Island Rd Unit 1
Cape Coral, FL 33991-2044 - Phone
- (239) 549-0448
- NPI assigned
- Jun 24, 2020
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | DN25366 | FL | Primary |
Addresses
Primary practice location
305 SW Pine Island Rd Unit 1
Cape Coral, FL 33991-2044
Mailing address
4914 Silver Gate LN Apt 307
Fort Myers, FL 33907-1358
Phone (561) 271-8055
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 |
|---|---|---|---|
| DN25366 | FL | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1592956800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1597190400000",
"number": "1306462494",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4914 SILVER GATE LN APT 307",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339071358",
"telephone_number": "561-271-8055"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "305 SW PINE ISLAND RD UNIT 1",
"city": "CAPE CORAL",
"state": "FL",
"postal_code": "339912044",
"telephone_number": "239-549-0448"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELIOPOULOS",
"first_name": "LUCAS",
"middle_name": "G",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-06-24",
"last_updated": "2020-08-12",
"certification_date": "2020-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "DN25366",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cape Coral, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.