Individual provider Active NPI

Madison Lopez, DC

  • Chiropractor
  • Wellsville, KS
National Provider Identifier
1063019966
Registry record updated Sep 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH61106811 Issued in WA
Practice address
216 Edgewood Dr
Wellsville, KS 66092-8515
Phone
(425) 478-7554
NPI assigned
Oct 4, 2020
Last updated
Sep 9, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 9, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH61106811 WA Primary
Chiropractor 111N00000X 01-06441 KS

Addresses

Primary practice location

216 Edgewood Dr
Wellsville, KS 66092-8515

Mailing address

216 Edgewood Dr
Wellsville, KS 66092-8515
Phone (425) 478-7554

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210413000868 WA Practitioner - Chiropractic 8729496773 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Western States College of Chiropractic, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Balanced Family Chiropractic LLCGroup PAC ID 7810305869, 2 clinicians

Practice addresses (Care Compare)

16201 25TH Ave W
Lynnwood, WA 98087-2520
Phone (425) 712-9277

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
01-06441KSMDChiropractor
CH61106811WAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Balanced Family Chiropractic, LLC Chiropractor CurrentSince Mar 6, 2021 Accepting new patients

Locations

20120 76th Ave W
Edmonds, WA 98026
Phone (425) 470-3365

16201 25th Ave W
Lynnwood, WA 98087
Phone (425) 712-9277

600 SW 39th St
Ste 100C
Renton, WA 98057
Phone (425) 712-3877

Networks

  • WA PPO C-SNP
  • devoted network organization-83621310-88c0-4660-8f8d-b8ea8f4dc04e

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": "1601769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788912000000",
    "number": "1063019966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "216 EDGEWOOD DR",
            "city": "WELLSVILLE",
            "state": "KS",
            "postal_code": "660928515",
            "telephone_number": "425-478-7554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 EDGEWOOD DR",
            "city": "WELLSVILLE",
            "state": "KS",
            "postal_code": "660928515",
            "telephone_number": "425-478-7554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "MADISON",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-04",
        "last_updated": "2026-09-09",
        "certification_date": "2026-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH61106811",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KS",
            "license": "01-06441",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wellsville, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2026; 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.

Verify at the official NPI Registry.