Jose M Lopez, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

17432 Issued in TX

Practice address

1717 Brown St Ste 1B
El Paso, TX 79902-4730

Phone

(915) 544-1600

Fax

(915) 544-1610

NPI assigned

Jan 6, 2007

Last updated

Jul 8, 2007By 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

Medicare fee-for-service enrollment

Enrolled in TX

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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

• Jose M Lopez, D.M.D., PA

  • General Practice Dentistry
  • El Paso, TX
  • NPI 1073814257
  NPD (past) Authorized official

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

{
    "created_epoch": "1168041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1447308614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1717 BROWN ST STE 1B",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799024730",
            "telephone_number": "915-544-1600",
            "fax_number": "915-544-1610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 BROWN ST STE 1B",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799024730",
            "telephone_number": "915-544-1600",
            "fax_number": "915-544-1610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "JOSE",
        "middle_name": "M",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "17432",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jesus Ramiro Lopez
• Joanna Lopez
• Joaquin Lopez, LPC
• Jorge M Lopez
• Jose Abraham Lopez, M.D.
• Joshua Eli Lopez, FNP-C
• Josue Edward Lopez, M.D.
• Karla Lopez, SLPA
• Karla V. Lopez, LPC
• Kenia Lopez, RN

• General Practice Dentistry in El Paso, TX
• Providers in El Paso, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.