Organization Active NPI

Humberto Lopez MD PA

  • Family Medicine Physician
  • Farmers Branch, TX
National Provider Identifier
1457513301
Registry record updated Jul 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
K3790 Issued in TX
Legal business name
HUMBERTO LOPEZ MD PA
Practice address
10 Medical Pkwy
Plaza 3 Suite 208
Farmers Branch, TX 75234-7845
Phone
(972) 243-9607
NPI assigned
Jul 1, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2008

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

Authorized official

Name
Humberto Lopez
Title
Owner
Phone
(972) 243-9607

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X K3790 TX Primary

Addresses

Primary practice location

10 Medical Pkwy
Plaza 3 Suite 208
Farmers Branch, TX 75234-7845

Mailing address

10 Medical Pkwy
Plaza 3 Suite 208
Farmers Branch, TX 75234-7845

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171010000813 TX Part B Supplier - Clinic/Group Practice 5092080580 Receives reassigned benefits from 2 practitioners
Practice locations: Farmers Branch, TX

National Provider Directory

National Provider Directory

Locations

10 Medical Pkwy
Ste 203
Dallas, TX 75234
Phone (469) 441-0185

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1214870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214870400000",
    "number": "1457513301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 MEDICAL PKWY",
            "address_2": "PLAZA 3 SUITE 208",
            "city": "FARMERS BRANCH",
            "state": "TX",
            "postal_code": "752347845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 MEDICAL PKWY",
            "address_2": "PLAZA 3 SUITE 208",
            "city": "FARMERS BRANCH",
            "state": "TX",
            "postal_code": "752347845",
            "telephone_number": "972-243-9607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUMBERTO LOPEZ MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-01",
        "last_updated": "2008-07-01",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "HUMBERTO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-243-9607"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "K3790",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmers Branch, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.