Active NPI
Alfredo Denis Lopez Maceda
- Dentist
- Lakeland, FL
National Provider Identifier
1497552483
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN31028
- Practice address
- 1421 Bartow Rd
Lakeland, FL 33801-6574 - Phone
- (813) 499-0197
- NPI assigned
- Feb 26, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DN31028 | FL | Primary |
Addresses
Primary practice location
1421 Bartow Rd
Lakeland, FL 33801-6574
Mailing address
1775 Foreman Rd
Eagle Lake, FL 33839-5128
Phone (305) 549-0153
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN31028 | FL | MD | Dentist |
Networks
- Freedom Health HMO Network
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1740528000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1765411200000",
"number": "1497552483",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1775 FOREMAN RD",
"city": "EAGLE LAKE",
"state": "FL",
"postal_code": "338395128",
"telephone_number": "305-549-0153"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1421 BARTOW RD",
"city": "LAKELAND",
"state": "FL",
"postal_code": "338016574",
"telephone_number": "813-499-0197"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOPEZ MACEDA",
"first_name": "ALFREDO",
"middle_name": "DENIS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-02-26",
"last_updated": "2025-12-11",
"certification_date": "2025-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "DN31028",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lakeland, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.