Individual provider Active NPI

Arlet Lopez Neyra

  • General Practice Dentistry
  • Hollywood, FL
National Provider Identifier
1730747833
Registry record updated Jun 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
24103 Issued in FL
Practice address
6831 Park St
Hollywood, FL 33024-3813
Phone
(786) 308-6133
NPI assigned
Jun 3, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2019

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 24103 FL Primary

Addresses

Primary practice location

6831 Park St
Hollywood, FL 33024-3813

Mailing address

6831 Park St
Hollywood, FL 33024-3813

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
I20191101002059 FL Order and Referring Only - DentistPractitioner - Dentist 2668704131

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
24103FLMDGeneral Practice Dentistry

Practice roles (1 of 2)

OrganizationSpecialtyStatusNew patients
La Family Dentistry Corp CurrentSince Sep 28, 2021 Accepting new patients

Locations

4835 E 4th Ave
#A
Hialeah, FL 33013
Phone (305) 685-5133

Networks

  • Freedom Health HMO Network

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": "1559520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559520000000",
    "number": "1730747833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6831 PARK ST",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330243813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6831 PARK ST",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330243813",
            "telephone_number": "786-308-6133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ NEYRA",
        "first_name": "ARLET",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-03",
        "last_updated": "2019-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "24103",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollywood, FL

Sources for this page

Verify at the official NPI Registry.