Jade Rashida Lopez, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

DN27169 Issued in FL

Practice address

24185 US Highway 27
Lake Wales, FL 33859-7819

Phone

(863) 676-6200

NPI assigned

Jun 17, 2022

Last updated

May 17, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Bangash Dentistry PLLC

  • General Practice Dentistry
  • Lake Wales, FL
  • NPI 1962051987
  NPD
• Maryam Bangash DDS Holdings PLLC

  dba Aspen Dental

  • General Practice Dentistry
  • Lake Wales, FL
  • NPI 1255707774
  NPD (past)

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

{
    "created_epoch": "1655424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684281600000",
    "number": "1649901976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3610 SW 165TH AVE",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330274513",
            "telephone_number": "954-662-4922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24185 US HIGHWAY 27",
            "city": "LAKE WALES",
            "state": "FL",
            "postal_code": "338597819",
            "telephone_number": "863-676-6200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7814 N Dale Mabry Hwy",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336143220",
            "country_code": "US",
            "telephone_number": "813-397-5300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "JADE",
        "middle_name": "RASHIDA",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-17",
        "last_updated": "2023-05-17",
        "certification_date": "2023-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN27169",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Lloyd, M.ED.
• Lomba MD PA
• Kerri Lynn Long
• Calvin F Lopez
• Elba M Lopez, LMT
• Stephanie Marie Lopez, HHA
• Melissa Ann Lovemore Wright, APRN
• Lozano Internal Medicine LLC
• Gilberto A Lozano, M.D.
• Riedasiel Lugo

• Dentist in Lake Wales, FL
• Providers in Lake Wales, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2023; 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.