Individual provider Active NPI

Ricardo Lopez

  • Durable Medical Equipment & Medical Supplies
  • Smyrna, GA
National Provider Identifier
1487235214
Registry record updated Apr 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Practice address
1675 Cumberland Pkwy SE Ste 307
Smyrna, GA 30080-6361
Phone
(678) 426-8443
NPI assigned
Apr 14, 2021
Last updated
Apr 14, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 14, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

1675 Cumberland Pkwy SE Ste 307
Smyrna, GA 30080-6361

Mailing address

1675 Cumberland Pkwy SE Ste 307
Smyrna, GA 30080-6361
Phone (678) 426-8443

Other identifiers 2

IdentifierTypeStateIssuer
20284321254OtherGASALES AND USE TAX CERTIFICATE
PHDME000614OtherGADURABLE MEDICAL EQUIPMENT SUPPLIER LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Ricardo.lopez@mobilitycity.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1618358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618358400000",
    "number": "1487235214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1675 CUMBERLAND PKWY SE STE 307",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300806361",
            "telephone_number": "678-426-8443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1675 CUMBERLAND PKWY SE STE 307",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300806361",
            "telephone_number": "678-426-8443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "RICARDO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-04-14",
        "last_updated": "2021-04-14",
        "certification_date": "2021-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SALES AND USE TAX CERTIFICATE",
            "identifier": "20284321254",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DURABLE MEDICAL EQUIPMENT SUPPLIER LICENSE",
            "identifier": "PHDME000614",
            "state": "GA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Ricardo.lopez@mobilitycity.com",
            "affiliation": "N",
            "endpointDescription": "Company Email",
            "address_1": "1675 Cumberland Pkwy SE Ste 307",
            "city": "Smyrna",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300806361",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Smyrna, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.