Individual provider Active NPI

Peter Alan Lopez, D.C

  • Chiropractor
  • Beverly Hills, CA
National Provider Identifier
1114119633
Registry record updated Aug 17, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC 29889 Issued in CA
Practice address
8500 Wilshire Blvd
Penthouse Suite
Beverly Hills, CA 90211-3121
Phone
(310) 652-7721
Fax
(310) 652-2616
NPI assigned
Aug 17, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC 29889 CA Primary

Addresses

Primary practice location

8500 Wilshire Blvd
Penthouse Suite
Beverly Hills, CA 90211-3121

Mailing address

8500 Wilshire Blvd
Penthouse Suite
Beverly Hills, CA 90211-3121
Phone (310) 652-7721

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DC 29889CAMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1187308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187308800000",
    "number": "1114119633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8500 WILSHIRE BLVD",
            "address_2": "PENTHOUSE SUITE",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902113121",
            "telephone_number": "310-652-7721",
            "fax_number": "310-652-2616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8500 WILSHIRE BLVD",
            "address_2": "PENTHOUSE SUITE",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902113121",
            "telephone_number": "310-652-7721",
            "fax_number": "310-652-2616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "PETER",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "D.C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-17",
        "last_updated": "2007-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC 29889",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2007; 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.