DR. JUAN E LOPEZ-ROSARIO DMD
NPI 1205960564
Dentist - General Practice in Fulton, NY

Active since March 16, 2007PECOS Enrolled
29 CROSSROADS DRIVE, FULTON, NY 13069(315) 592-2400(315) 592-2400 Get Directions Write a Review

NPPES record last updated: April 25, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 25, 2018, Feb 2, 2016 (2 updates tracked since 2016).

About Dr. Juan E Lopez-rosario Dmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JUAN E LOPEZ-ROSARIO DMD (NPI 1205960564) is an individual general practice provider in Fulton, New York, licensed in New York (052831-1) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1205960564
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. JUAN E LOPEZ-ROSARIOCredential: DMD
Location Address29 CROSSROADS DRIVEFulton, NY 13069
Mailing Address29 Crossroads DriveFulton, NY 13069 · (315) 592-2400 · Fax (315) 592-2400
Fax(315) 592-2400
Sole ProprietorNo
Enumeration DateMarch 16, 2007
Last NPPES UpdateApril 25, 20182 updates tracked since enumeration
NPI 1205960564 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in NY · 052831-1
Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Also ListedDentistTaxonomy 122300000X · License 052831-1 (NY)
29 CROSSROADS DRIVE, Fulton, NY 13069

Other Names 1

Other Name (5)Dr. Juan Lopez Dmd

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Juan E Lopez-rosario Dmd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13069 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (General Practice)
29 CROSSROADS DRIVE
FULTON, NY 13069
Dentist
29 CROSSROADS DRIVE
FULTON, NY 13069

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Juan Lopez-rosario's NPI number?

The NPI number for Juan Lopez-rosario is 1205960564. It was assigned to this individual provider in the NPPES registry on March 16, 2007. The provider is also known as Dr. Juan Lopez Dmd.

Where is Juan Lopez-rosario located?

Juan Lopez-rosario practices at 29 Crossroads Drive, Fulton, NY 13069. The listed phone number is (315) 592-2400.

What is Juan Lopez-rosario's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Juan Lopez-rosario enrolled in Medicare?

Yes. Juan Lopez-rosario is registered in the Medicare PECOS enrollment system.

What insurance does Juan Lopez-rosario accept?

Health plans from Anthem Blue Cross and Blue Shield list Juan Lopez-rosario as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Juan Lopez-rosario was last updated on April 25, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.