Individual provider Active NPI

William Manuel Lopez, M.D.

  • Psychiatry Physician
  • Plano, TX
National Provider Identifier
1457304693
Registry record updated Apr 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
0101226877 Issued in VA
Practice address
1640 Dallas Pkwy
Plano, TX 75093-4515
Phone
(952) 996-2176
Fax
(877) 733-8380
NPI assigned
May 18, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 3, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 0101226877 VA Primary

Addresses

Primary practice location

1640 Dallas Pkwy
Plano, TX 75093-4515

Mailing address

1640 Dallas Pkwy
Plano, TX 75093-4515
Phone (952) 996-2176

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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

Enrollment IDStateProvider typePAC IDDetails
I20120222000145 NC Practitioner - Psychiatry 1456412287 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Ponce School of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Forsyth Memorial Hospital IncGroup PAC ID 9537071790, 622 clinicians
Novant Health Medical Group, LLCGroup PAC ID 1153234893, 2,413 clinicians

Practice addresses (Care Compare)

309 Pineywood Rd
Thomasville, NC 27360-3438
Phone (336) 474-8921

3333 Silas Creek Pkwy
Winston Salem, NC 27103-3013
Phone (336) 718-7597

800 N Justice St
Hendersonville, NC 28791-3410
Phone (828) 696-4280

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0101226877VAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Novant Health Medical Group, LLC Current Accepting new patients
Novant Health Medical Group, LLC Psychiatry CurrentSince Oct 1, 2020 Accepting new patients
Forsyth Memorial Hospital, Inc. Current Accepting new patients
Henderson County Hospital Corporation CurrentSince Jun 15, 2020 Accepting new patients
Caromont Medical Group Inc CurrentSince Jan 1, 2012 Accepting new patients
Caromont Medical Group Inc Psychiatry CurrentSince Jan 1, 2012 Accepting new patients
Henderson County Hospital Corporation CurrentSince Jun 15, 2020 Accepting new patients
Caromont Medical Group Inc Psychiatry Current Accepting new patients
Forsyth Memorial Hospital, Inc. CurrentSince Oct 1, 2020 Accepting new patients
Novant Health Medical Group, LLC CurrentSince Oct 1, 2020 Accepting new patients
Forsyth Memorial Hospital, Inc Psychiatry CurrentSince Oct 1, 2020 Accepting new patients
Mary Washington Healthcare Specialty Services LLC Past Accepting new patients
Connecticut General Life Insurance Company (Cglic) Past Accepting new patients
Memorial Hospital Past Accepting new patients

Locations

21 Turtle Creek Dr
Ste 100
Asheville, NC 28803
Phone (828) 435-8394

6301 Stadium Dr
Clemmons, NC 27012
Phone (336) 766-6473

2525 Court Dr
Gastonia, NC 28054
Phone (704) 834-2662

800 N Justice St
Hendersonvlle, NC 28791
Phone (828) 696-1000

291 Broad St
Kernersville, NC 27284
Phone (336) 993-8181

309 Pineywood Rd
Thomasville, NC 27360
Phone (336) 474-8921

175 Kimel Park Dr
Ste 100
Winston Salem, NC 27103
Phone (336) 277-1811

3333 Silas Creek Pkwy
Winston Salem, NC 27103
Phone (336) 277-8800

2825 Lyndhurst Ave
Ste 101
Winston Salem, NC 27103
Phone (336) 277-6300

Interoperability endpoints

  • Direct secure messaging: wlopez621529@direct.unc.nchie.net
  • Direct secure messaging: wlopez837430@direct.novanthealth.org

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1333411200000",
    "number": "1457304693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1640 DALLAS PKWY",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750934515",
            "telephone_number": "952-996-2176",
            "fax_number": "877-733-8380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1640 DALLAS PKWY",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750934515",
            "telephone_number": "952-996-2176",
            "fax_number": "877-733-8380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "WILLIAM",
        "middle_name": "MANUEL",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-18",
        "last_updated": "2012-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "VA",
            "license": "0101226877",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

Verify at the official NPI Registry.