Juan G Lopez, DDS, DMD

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

7223 Issued in NC

Practice address

5531 N University Dr
Suite 104
Coral Springs, FL 33067-4649

Phone

(954) 227-4892

Fax

(954) 227-4894

NPI assigned

Jul 5, 2006

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

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: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Oral SurgeryAlso: Maxillofacial Surgery

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Oral Facial Reconstruction and Implant Center of S. Florida Inc.Group PAC ID 4880645787, 6 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Oral Facial Reconstruction & Implant Center of S. Florida Inc.

  • Specialist
  • Plantation, FL
  • NPI 1972703619
  Medicare reassignment Care Compare group NPD
• Juan Guillermo Lopez DMD DDS PA

  dba Calima Dental Care

  • Dental Clinic/Center
  • Fort Myers, FL
  • NPI 1124745740
  NPD Authorized official
• Dr. Juan G. Lopez DMD DDS PA

  • Oral and Maxillofacial Surgery Clinic/Center
  • Charlotte, NC
  • NPI 1831303429
  NPD (past)
• Meadows Lutcavage Smith Vinton Fidler & Long DDS PA

  • Oral and Maxillofacial Surgery (Dentist)
  • Goldsboro, NC
  • NPI 1992754311
  NPD (past)

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322611200000",
    "number": "1447281720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5531 N UNIVERSITY DR",
            "address_2": "SUITE 104",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330674649",
            "telephone_number": "954-227-4892",
            "fax_number": "954-227-4894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5531 N UNIVERSITY DR",
            "address_2": "SUITE 104",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330674649",
            "telephone_number": "954-227-4892",
            "fax_number": "954-227-4894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "JUAN",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "DDS, DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-05",
        "last_updated": "2011-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NC",
            "license": "7223",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Long Life Care Assisted Living
• Jacob Glenn Long, DPT
• Janine K Long, MS; LPC
• Diana Leslie Lopez Herrera
• Amanda Lopez, PA-C
• Pedro Lopez
• Victoria Lopez
• Nadia N Lora
• Gabrielle Lorenzo, CNP
• Alva Collano Loste

• Oral and Maxillofacial Surgery (Dentist) in Coral Springs, FL
• Providers in Coral Springs, FL by specialty
• Oral and Maxillofacial Surgery (Dentist) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.