Active NPI
Dr. Juan G. Lopez DMD DDS PA
- Oral and Maxillofacial Surgery Clinic/Center
- Charlotte, NC
National Provider Identifier
1831303429
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery Clinic/Center
- License
- 7223
- Legal business name
- DR. JUAN G. LOPEZ DMD DDS PA
- Practice address
- 1711 Montford Dr
Charlotte, NC 28209-3721 - Phone
- (704) 523-7301
- Fax
- (704) 525-7138
- NPI assigned
- May 10, 2007
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Catalina Balcero
- Title
- Office Manager
- Phone
- (704) 523-7301
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery Clinic/Center | 261QS0112X | 7223 | NC | Primary |
Addresses
Primary practice location
1711 Montford Dr
Charlotte, NC 28209-3721
Mailing address
1711 Montford Dr
Charlotte, NC 28209-3721
National Provider Directory
National Provider DirectoryLocations
1711 Montford Dr
Charlotte, NC 28209
Phone (704) 523-7301
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Oral and Maxillofacial Surgery (Dentist)
- Coral Springs, FL
- NPI 1447281720
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178755200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1831303429",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1711 MONTFORD DR",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282093721"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1711 MONTFORD DR",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282093721",
"telephone_number": "704-523-7301",
"fax_number": "704-525-7138"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DR. JUAN G. LOPEZ DMD DDS PA",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-10",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "BALCERO",
"authorized_official_first_name": "CATALINA",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "704-523-7301",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "261QS0112X",
"taxonomy_group": "",
"desc": "Clinic/Center, Oral and Maxillofacial Surgery",
"state": "NC",
"license": "7223",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Charlotte, NC
- Dr. Cameron & Associates of Cotswold, PLLC (Cotswold Family Dentistry)
- Dr. Gary S. Miller & Associates, Optometrists, PA
- Dr. Heather D. Rorison
- Dr. Hiren Patel, DMD, PA
- Dr. Jeffrey I. Musler & Associates, Optometry Group, PA
- Dr. Kevin Jalali PLLC (East Blvd Dentistry)
- Dr. Marti L. Cherry D.D.S.,P.a.
- Dr. Michael F. Battle, PLLC
- Dr. Ramesh K. Sunar and Associates, PLLC (Blakeney Dental Center)
- Dr. Richard Vangurp, DDS PLLC (Carolina Sleep Solutions)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.