Organization Active NPI

Fermin R. Lopez D.D.S. PA Corp

  • General Practice Dentistry
  • Miami, FL
National Provider Identifier
1558709485
Registry record updated Oct 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
FERMIN R. LOPEZ D.D.S. PA CORP
Practice address
1125 NW 22ND Ave
Miami, FL 33125-2738
Phone
(305) 649-6112
Fax
(305) 649-1803
NPI assigned
Jun 13, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2018

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

Authorized official

Name
Mr. Mirta Hechavarria, D.D.S
Title
Owner
Phone
(305) 649-6112

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

1125 NW 22ND Ave
Miami, FL 33125-2738

Mailing address

1125 NW 22ND Ave
Miami, FL 33125-2738
Phone (305) 649-6112

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1371081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1540425600000",
    "number": "1558709485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1125 NW 22ND AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331252738",
            "telephone_number": "305-649-6112",
            "fax_number": "305-649-1803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 NW 22ND AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331252738",
            "telephone_number": "305-649-6112",
            "fax_number": "305-649-1803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FERMIN R. LOPEZ D.D.S. PA CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-13",
        "last_updated": "2018-10-25",
        "status": "A",
        "authorized_official_last_name": "HECHAVARRIA",
        "authorized_official_first_name": "MIRTA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-649-6112",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2018; 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.