Individual provider Active NPI

Sara Cardona Lopez, D.M.D

  • General Practice Dentistry
  • Rockledge, FL
National Provider Identifier
1437406956
Registry record updated Mar 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN 19880 Issued in FL
Practice address
7115 Turner Rd
Rockledge, FL 32955-5712
Phone
(321) 407-3300
NPI assigned
Aug 14, 2012
Last updated
Mar 27, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN19880 FL
General Practice Dentistry 1223G0001X DN 19880 FL Primary

Addresses

Primary practice location

7115 Turner Rd
Rockledge, FL 32955-5712

Mailing address

7115 Turner Rd
Rockledge, FL 32955-5712
Phone (321) 407-3300

Other practice location 1

17 Nelson Ave
Melbourne, FL 32935-6743
Phone (321) 259-2161

Other practice location 2

9101 Lakeridge Blvd
Boca Raton, FL 33496-2181
Phone (561) 852-7700

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
I20150722006101 FL Order and Referring Only - DentistPractitioner - Dentist 2961715743

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN 19880FLMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1344902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743033600000",
    "number": "1437406956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7115 TURNER RD",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329555712",
            "telephone_number": "321-407-3300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7115 TURNER RD",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329555712",
            "telephone_number": "321-407-3300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17 Nelson Ave",
            "address_purpose": "LOCATION",
            "city": "Melbourne",
            "state": "FL",
            "postal_code": "329356743",
            "country_code": "US",
            "telephone_number": "321-259-2161",
            "fax_number": "321-259-2728",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9101 Lakeridge Blvd",
            "address_purpose": "LOCATION",
            "city": "Boca Raton",
            "state": "FL",
            "postal_code": "334962181",
            "country_code": "US",
            "telephone_number": "561-852-7700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "SARA",
        "middle_name": "CARDONA",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-14",
        "last_updated": "2025-03-27",
        "certification_date": "2025-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN19880",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN 19880",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockledge, FL

Sources for this page

Verify at the official NPI Registry.