Active NPI
Alexander Lopez, MS, LPA, HSP-PA
- Psychologist
- Huntersville, NC
National Provider Identifier
1659517381
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 3556
- Practice address
- 16409 Northcross Dr
Huntersville, NC 28078-5065 - Phone
- (980) 441-8200
- Fax
- (980) 441-8202
- NPI assigned
- Dec 31, 2008
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 3556 | NC | Primary |
Addresses
Primary practice location
16409 Northcross Dr
Huntersville, NC 28078-5065
Mailing address
2675 Court Dr
Gastonia, NC 28054-1478
Phone (704) 824-4999
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3556 | NC | MD | Orthodontics and Dentofacial Orthopedic Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Complete Rehabilitation and Sports Physical Therapy, PC | 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.
-
- Physical Therapist
- Ronkonkoma, NY
- NPI 1811097306
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1230681600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1680825600000",
"number": "1659517381",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2675 COURT DR",
"city": "GASTONIA",
"state": "NC",
"postal_code": "280541478",
"telephone_number": "704-824-4999",
"fax_number": "704-824-3999"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16409 NORTHCROSS DR",
"city": "HUNTERSVILLE",
"state": "NC",
"postal_code": "280785065",
"telephone_number": "980-441-8200",
"fax_number": "980-441-8202"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOPEZ",
"first_name": "ALEXANDER",
"name_prefix": "Mr.",
"credential": "MS, LPA, HSP-PA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-12-31",
"last_updated": "2023-04-07",
"certification_date": "2023-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NC",
"license": "3556",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Huntersville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 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.