Loop Smile Group

Primary specialty

DentistTaxonomy code 122300000X

License

DN18386 Issued in FL

Legal business name

LOOP SMILE GROUP

Practice address

7902 NW 36TH St Ste 209
Doral, FL 33166-6663

Phone

(305) 477-7655

Fax

(305) 477-7654

NPI assigned

May 29, 2015

Organization subpart

No

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

Authorized official

Name

Juan Ricardo Youssef

Title

Owner

Phone

(305) 477-7655

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1432857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432857600000",
    "number": "1497134902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7902 NW 36TH ST STE 209",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331666663",
            "telephone_number": "305-477-7655",
            "fax_number": "305-477-7654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7902 NW 36TH ST STE 209",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331666663",
            "telephone_number": "305-477-7655",
            "fax_number": "305-477-7654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOOP SMILE GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-29",
        "last_updated": "2015-05-29",
        "status": "A",
        "authorized_official_last_name": "YOUSSEF",
        "authorized_official_first_name": "JUAN",
        "authorized_official_middle_name": "RICARDO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-477-7655"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN18386",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Logistic International Inc.
• Patrick Lolo, DMD
• Jessica Longa
• Jeyanet Longres
• Loop Family, LLC
• Jose Roberto Lopez Feliciano, D.C.
• Juan Carlos Lopez Frontela, SA-C
• Jose Ramon Lopez Hernandez, SA-C
• Dunia Lopez Leon
• Geyris M Lopez Matos

• Dentist in Doral, FL
• Providers in Doral, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2015; 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.