Active NPI
Matthew Lopez, DDS
- Orthodontics and Dentofacial Orthopedics Dentistry
- Palmetto, FL
National Provider Identifier
1932622917
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- DN22842
- Practice address
- 579 10TH St E
Palmetto, FL 34221-4013 - Phone
- (941) 315-9914
- NPI assigned
- Jul 20, 2017
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | DN22842 | FL | Primary |
Addresses
Primary practice location
579 10TH St E
Palmetto, FL 34221-4013
Mailing address
8845 Moonlit Meadows Loop
Riverview, FL 33578-8836
Phone (407) 414-9894
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190321003044 | FL | Order and Referring Only - Dentist | 7810237237 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1500508800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1754956800000",
"number": "1932622917",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8845 MOONLIT MEADOWS LOOP",
"city": "RIVERVIEW",
"state": "FL",
"postal_code": "335788836",
"telephone_number": "407-414-9894"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "579 10TH ST E",
"city": "PALMETTO",
"state": "FL",
"postal_code": "342214013",
"telephone_number": "941-315-9914"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOPEZ",
"first_name": "MATTHEW",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-07-20",
"last_updated": "2025-08-12",
"certification_date": "2025-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "FL",
"license": "DN22842",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Palmetto, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2025; 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.