Thomas Lopez I

Primary specialty

SpecialistTaxonomy code 174400000X

License

319419 Issued in NM

Practice address

4000 Edith Blvd NE
Albuquerque, NM 87107-2222

Phone

(505) 841-4259

Fax

(505) 841-4314

NPI assigned

Sep 24, 2014

Last updated

Sep 24, 2014By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Mr. Tomas R Lopez I Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1411516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411516800000",
    "number": "1336541184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 33922",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875943922",
            "telephone_number": "505-310-0097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 EDITH BLVD NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871072222",
            "telephone_number": "505-841-4259",
            "fax_number": "505-841-4314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "THOMAS",
        "name_suffix": "I",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-09-24",
        "last_updated": "2014-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NM",
            "license": "319419",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TOMAS",
            "last_name": "LOPEZ",
            "middle_name": "R",
            "prefix": "MR.",
            "suffix": "I",
            "credential": "M.A.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Stella L Lopez, LMSW
• Stephanie Lopez
• Stephanie C Lopez, RPH
• Steven Lopez
• Suzanne M Lopez, M.F.C.T
• Tiara Lopez
• Tonya Marie Lopez, AGACNP-BC
• Trinidad S Lopez, PA-C
• Veronica Lopez
• Victoria Lopez

• Specialist in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Specialist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2014; 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.