Active NPI
Juan Daniel Lopez, LVN
- Licensed Practical Nurse
- Denison, TX
National Provider Identifier
1609200468
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- 190500
- Practice address
- 1105 Memorial Dr
Suite 101
Denison, TX 75020-2177 - Phone
- (972) 391-4252
- Fax
- (903) 464-0559
- NPI assigned
- Aug 29, 2013
- 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 |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 190500 | TX | Primary |
Addresses
Primary practice location
1105 Memorial Dr
Suite 101
Denison, TX 75020-2177
Mailing address
1105 Memorial Dr
Suite 101
Denison, TX 75020-2177
Phone (972) 391-4252
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 |
|---|---|---|---|
| 190500 | TX | MD | Licensed Practical Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vcphcs II LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Counselor
- Denison, TX
- NPI 1275967101
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1377734400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1377734400000",
"number": "1609200468",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1105 MEMORIAL DR",
"address_2": "SUITE 101",
"city": "DENISON",
"state": "TX",
"postal_code": "750202177",
"telephone_number": "972-391-4252",
"fax_number": "903-464-0559"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1105 MEMORIAL DR",
"address_2": "SUITE 101",
"city": "DENISON",
"state": "TX",
"postal_code": "750202177",
"telephone_number": "972-391-4252",
"fax_number": "903-464-0559"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOPEZ",
"first_name": "JUAN",
"middle_name": "DANIEL",
"credential": "LVN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-08-29",
"last_updated": "2013-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "TX",
"license": "190500",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Denison, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.