Individual provider Active NPI

Darwin Alexander Flores-Lopez, RDH

  • Dental Hygienist
  • Jacksonville, FL
National Provider Identifier
1326413279
Registry record updated Dec 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
License
11136 Issued in KS
Practice address
554 Keily St.
Bureau of Medicine and Surgery-Credentials
Jacksonville, FL 32212
Phone
(757) 953-7011
NPI assigned
Dec 3, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 2, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Hygienist 124Q00000X 11136 KS Primary

Addresses

Primary practice location

554 Keily St.
Bureau of Medicine and Surgery-Credentials
Jacksonville, FL 32212

Mailing address

4153 Archstone Dr
Virginia Beach, VA 23456-1666
Phone (850) 261-8070

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address darwin.a.floreslopez.ctr@health.mil
Direct Messaging Address darwin.a.floreslopez.ctr@health.mil Health Information Exchange (HIE)

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
11136KSMDDental Hygienist

NPI Registry JSON

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

{
    "created_epoch": "1449100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669939200000",
    "number": "1326413279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4153 ARCHSTONE DR",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234561666",
            "telephone_number": "850-261-8070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "554 KEILY ST.",
            "address_2": "BUREAU OF MEDICINE AND SURGERY-CREDENTIALS",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "32212",
            "telephone_number": "757-953-7011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLORES-LOPEZ",
        "first_name": "DARWIN",
        "middle_name": "ALEXANDER",
        "credential": "RDH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-12-03",
        "last_updated": "2022-12-02",
        "certification_date": "2022-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "KS",
            "license": "11136",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "darwin.a.floreslopez.ctr@health.mil",
            "affiliation": "N",
            "endpointDescription": "email address",
            "address_1": "1647 Admiral Taussig Blvd",
            "city": "Norfolk",
            "state": "VA",
            "country_code": "US",
            "postal_code": "235112803",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "darwin.a.floreslopez.ctr@health.mil",
            "affiliation": "N",
            "endpointDescription": "EMAIL",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "1647 Admiral Taussig Blvd",
            "city": "Norfolk",
            "state": "VA",
            "country_code": "US",
            "postal_code": "235112803",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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 Dec 2, 2022; 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.