{"npi":"1003973397","type":"NPI-1","status":"active","name":{"display":"Dr. G. Michael Lopez M.D.","other":[],"first":"G. MICHAEL","last":"LOPEZ","credential":"M.D."},"specialty":{"primary_taxonomy":"207R00000X","primary_taxonomy_description":"Internal Medicine","slug":"internal-medicine","schema_org_specialty":"Internal","all":[{"code":"363LP2300X","description":"Primary Care Nurse Practitioner","primary":false,"state":"NM","license":"CNP-01651"},{"code":"207R00000X","description":"Internal Medicine","primary":true,"state":"NM","license":"NM81-77"}]},"addresses":[{"purpose":"LOCATION","street_1":"105 MILLS AVE STE 300","city":"LAS VEGAS","state":"NM","postal_code":"877014169","country_code":"US","phone":"5054259311","fax":"5054259047"},{"purpose":"MAILING","street_1":"105 MILLS AVE STE 300","city":"LAS VEGAS","state":"NM","postal_code":"877014169","country_code":"US","phone":"5054259311","fax":"5054259047"}],"license":{"state":"NM","number":"NM81-77"},"identifiers":[{"type_code":"01","label":"Other","value":"NM001568","state":"NM","issuer":"BLUE CROSS BLUE SHIELD"},{"type_code":"05","label":"Medicaid","value":"NM00007070","state":"NM","issuer":null},{"type_code":"01","label":"Other","value":"1991","state":"NM","issuer":"LOVELACE"},{"type_code":"01","label":"Other","value":"50013","state":"NM","issuer":"HMO OF NEW MEXICO"},{"type_code":"01","label":"Other","value":"201006000","state":"NM","issuer":"PRESBYTERIAN HEALTH PLAN"}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20110207000751","type_code":"14-11","type_desc":"PRACTITIONER - INTERNAL MEDICINE","state":"NM","pac_id":"3678753779"}]},"enumeration_date":"2007-01-03","last_updated":"2025-03-05","_meta":{"source":"NPPES","snapshot_date":"2025-03-05","doc_url":"https://findmynpi.com/api"}}