Active NPI
John M. Lopez, DC
- Chiropractor
- Corpus Christi, TX
National Provider Identifier
1053322800
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 8107
- Practice address
- 1734 Santa Fe St
Corpus Christi, TX 78404-1857 - Phone
- (361) 884-9191
- Fax
- (361) 884-9192
- NPI assigned
- Aug 10, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 8107 | TX | Primary |
Addresses
Primary practice location
1734 Santa Fe St
Corpus Christi, TX 78404-1857
Mailing address
1734 Santa Fe St
Corpus Christi, TX 78404-1857
Phone (361) 884-9191
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 607059 | Other | TX | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050106000063 | TX | Practitioner - Chiropractic | 5991753956 | Practice locations: Corpus Christi, TX |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
4825 Everhart Rd
Suite 2
Corpus Christi, TX 78411-2765
Phone (361) 884-9191
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8107 | TX | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| John Lopez DC | Chiropractor | Current | Accepting new patients |
| Coastal Bend Family Chiropractic | Chiropractor | Past | Accepting new patients |
| Gulf Shore Anesthesia Associates PA | Past | Accepting new patients |
Locations
4825 Everhart Rd
Ste 2
Corpus Christi, TX 78411
Phone (361) 884-9191
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Chiropractor
- Corpus Christi, TX
- NPI 1326725722
-
- Chiropractor
- Corpus Christi, TX
- NPI 1720743057
-
- Anesthesiology Physician
- Corpus Christi, TX
- NPI 1902862147
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155168000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1053322800",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1734 SANTA FE ST",
"city": "CORPUS CHRISTI",
"state": "TX",
"postal_code": "784041857",
"telephone_number": "361-884-9191",
"fax_number": "361-884-9192"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1734 SANTA FE ST",
"city": "CORPUS CHRISTI",
"state": "TX",
"postal_code": "784041857",
"telephone_number": "361-884-9191",
"fax_number": "361-884-9192"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOPEZ",
"first_name": "JOHN",
"middle_name": "M.",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-10",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TX",
"license": "8107",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "607059",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Corpus Christi, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.