Active NPI
Mark Anthony Lopes, D.C.
- Chiropractor
- Chico, CA
National Provider Identifier
1053417253
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 14434
- Practice address
- 2107 Forest Ave
Suite 130
Chico, CA 95928-7680 - Phone
- (530) 566-1700
- Fax
- (530) 343-1919
- NPI assigned
- Sep 15, 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 | 14434 | CA | Primary |
Addresses
Primary practice location
2107 Forest Ave
Suite 130
Chico, CA 95928-7680
Mailing address
9870 Sterling Creek LN
Durham, CA 95938-9423
Phone (530) 343-5544
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120104000269 | CA | Practitioner - Chiropractic | 1052587581 | Practice locations: Chico, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - West Sunnyvale, 1981
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2615 Forest Ave
Suite 130
Chico, CA 95928-4386
Phone (530) 566-1700
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14434 | CA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158278400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1053417253",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9870 STERLING CREEK LN",
"city": "DURHAM",
"state": "CA",
"postal_code": "959389423",
"telephone_number": "530-343-5544"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2107 FOREST AVE",
"address_2": "SUITE 130",
"city": "CHICO",
"state": "CA",
"postal_code": "959287680",
"telephone_number": "530-566-1700",
"fax_number": "530-343-1919"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOPES",
"first_name": "MARK",
"middle_name": "ANTHONY",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-15",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "14434",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chico, CA
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.