Active NPI
Mayra Maria Lopez, DDS
- Dentist
- Miami, FL
National Provider Identifier
1801183918
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DDS 20991
- Practice address
- 6791 W Flagler St
Miami, FL 33144-2923 - Phone
- (305) 261-0633
- Fax
- (305) 261-2437
- NPI assigned
- Jul 9, 2011
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | DDS 20991 | FL | Primary |
Addresses
Primary practice location
6791 W Flagler St
Miami, FL 33144-2923
Mailing address
6791 W Flagler St
Miami, FL 33144-2923
Phone (305) 261-0633
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DDS 20991 | FL | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CMC Dental Services Inc. | Dentist | Past | Accepting new patients |
| CMC Dental Services | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- General Practice Dentistry
- Miami, FL
- NPI 1720398522
-
- Dentist
- Miami, FL
- NPI 1598917197
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1310169600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1470700800000",
"number": "1801183918",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6791 W FLAGLER ST",
"city": "MIAMI",
"state": "FL",
"postal_code": "331442923",
"telephone_number": "305-261-0633",
"fax_number": "305-261-2437"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6791 W FLAGLER ST",
"city": "MIAMI",
"state": "FL",
"postal_code": "331442923",
"telephone_number": "305-261-0633",
"fax_number": "305-261-2437"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOPEZ",
"first_name": "MAYRA",
"middle_name": "MARIA",
"name_prefix": "Mrs.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-07-09",
"last_updated": "2016-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "DDS 20991",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.