Elenice Michelle Lopez Deynes, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

30.027637 Issued in OH

Practice address

1160 W Broad St
Columbus, OH 43222-1352

Phone

(614) 274-1455

NPI assigned

Jul 19, 2019

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

Enrolled in OH

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

Medicare enrollment (NPD)

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 and National Provider Directory roles.

• Lower Lights Christian Health Center, Inc.

  • Primary Care Clinic/Center
  • Columbus, OH
  • NPI 1033455209
  Medicare reassignment NPD
• Lower Lights Christian Health Center Inc

  • Clinic/Center
  • Newark, OH
  • NPI 1700549755
  NPD
• Lower Lights Christian Health Center Inc

  • Clinic/Center
  • Columbus, OH
  • NPI 1992460950
  NPD
• Lower Lights Christian Health Center Inc

  • Clinic/Center
  • Columbus, OH
  • NPI 1992468938
  NPD
• Lower Lights Christian Health Center, Inc

  • Primary Care Clinic/Center
  • Marysville, OH
  • NPI 1699114108
  NPD
• Lower Lights Christian Health Center, Inc

  • Primary Care Clinic/Center
  • Columbus, OH
  • NPI 1841611688
  NPD
• Lower Lights Christian Health Center, Inc

  • Primary Care Clinic/Center
  • Westerville, OH
  • NPI 1962823708
  NPD
• Lower Lights Christian Health Center, Inc.

  • Primary Care Clinic/Center
  • Columbus, OH
  • NPI 1154630408
  NPD

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

{
    "created_epoch": "1563494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726617600000",
    "number": "1669025599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2211 DUBLIN RD UNIT 131",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432282085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1160 W BROAD ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432221352",
            "telephone_number": "614-274-1455"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "305 W 12th Ave",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432101267",
            "country_code": "US",
            "telephone_number": "614-292-2622",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOPEZ DEYNES",
        "first_name": "ELENICE",
        "middle_name": "MICHELLE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-19",
        "last_updated": "2024-09-18",
        "certification_date": "2024-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "30.027637",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MN",
            "license": "D14293",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kareen Loper, FNP
• Mark Loper Jr., MD
• Estefania Gabriela Lopes
• Jamie R Lopes, DPT
• Nerea Lopetegui-Lia, M.D.
• Anna Lee Lopez, LISW
• Anthony Raul Lopez, M.D.
• Frank Edward Lopez
• Jennifer Lopez
• Leah F Lopez, LSW

• Dentist in Columbus, OH
• Providers in Columbus, OH by specialty
• Dentist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.