Individual provider Active NPI

Jorge Antonio Barrientos-Lopez, D.C.

  • Chiropractor
  • Yakima, WA
National Provider Identifier
1033455548
Registry record updated Dec 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH60325178 Issued in WA
Practice address
3808 Tieton Dr
Suite #1
Yakima, WA 98902-3691
Phone
(509) 901-9698
Fax
(509) 972-0980
NPI assigned
Jan 2, 2013
Last updated
Dec 24, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 24, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH60325178 WA Primary

Addresses

Primary practice location

3808 Tieton Dr
Suite #1
Yakima, WA 98902-3691

Mailing address

3808 Tieton Dr
Suite #1
Yakima, WA 98902-3691
Phone (509) 901-9698

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH60325178WAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Columbia Point Sports Rehabilitation Clinic Corp Chiropractor PastSince Mar 1, 2020 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1357084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450915200000",
    "number": "1033455548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3808 TIETON DR",
            "address_2": "SUITE #1",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989023691",
            "telephone_number": "509-901-9698",
            "fax_number": "509-972-0980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3808 TIETON DR",
            "address_2": "SUITE #1",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989023691",
            "telephone_number": "509-901-9698",
            "fax_number": "509-972-0980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARRIENTOS-LOPEZ",
        "first_name": "JORGE",
        "middle_name": "ANTONIO",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-01-02",
        "last_updated": "2015-12-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH60325178",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yakima, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.