Individual provider Active NPI

Victor M. Lopez Perez, DDS

  • General Practice Dentistry
  • Miami, FL
National Provider Identifier
1609271550
Registry record updated Jun 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
20992 Issued in FL
Practice address
7158 SW 117TH Ave
Miami, FL 33183
Phone
(305) 271-2517
Fax
(305) 271-2140
NPI assigned
Nov 4, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 4, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 20992 FL Primary

Addresses

Primary practice location

7158 SW 117TH Ave
Miami, FL 33183

Mailing address

7158 SW 117TH Ave
Miami, FL 33183-2808
Phone (305) 271-2517

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180726003118 FL Practitioner - Oral Surgery 1456652114 Practice locations: Miami Gardens, FL

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
20992FLMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Thembi Evans DDS PA 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.

NPI Registry JSON

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

{
    "created_epoch": "1415059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528070400000",
    "number": "1609271550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7158 SW 117TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331832808",
            "telephone_number": "305-271-2517",
            "fax_number": "305-271-2140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7158 SW 117TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33183",
            "telephone_number": "305-271-2517",
            "fax_number": "305-271-2140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ PEREZ",
        "first_name": "VICTOR",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-11-04",
        "last_updated": "2018-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "20992",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.