Active NPI
Constanza Lopez Leal, DDS
- Dentist
- New Port Richey, FL
National Provider Identifier
1346623675
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN21927
- Practice address
- 8267 Little Rd
New Port Richey, FL 34654-5407 - Phone
- (727) 807-9145
- NPI assigned
- Jul 6, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DN21927 | FL | Primary |
| Dentist | 122300000X | 51049 | NC |
Addresses
Primary practice location
8267 Little Rd
New Port Richey, FL 34654-5407
Mailing address
8267 Little Rd
New Port Richey, FL 34654-5407
Phone (727) 807-9145
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 |
|---|---|---|---|
| DN21927 | FL | MD | Dentist |
| 51049 | NC | MD | Dentist |
Networks
- Freedom Health HMO Network
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1436140800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1472428800000",
"number": "1346623675",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8267 LITTLE RD",
"city": "NEW PORT RICHEY",
"state": "FL",
"postal_code": "346545407",
"telephone_number": "727-807-9145"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8267 LITTLE RD",
"city": "NEW PORT RICHEY",
"state": "FL",
"postal_code": "346545407",
"telephone_number": "727-807-9145"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOPEZ LEAL",
"first_name": "CONSTANZA",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-07-06",
"last_updated": "2016-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "DN21927",
"primary": true
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NC",
"license": "51049",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New Port Richey, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.