Dr Erica Lopez LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH9165 Issued in FL

Legal business name

DR ERICA LOPEZ LLC

Practice address

730 S Sterling Ave Ste 214
Tampa, FL 33609-4542

Phone

(401) 413-3176

Fax

(813) 280-9696

NPI assigned

Nov 29, 2017

Last updated

Nov 29, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dana Crossman

Title

Billing / Collections

Phone

(401) 413-3176

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1511913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1511913600000",
    "number": "1275047284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3108 N BOUNDARY BLVD # 181",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336215050",
            "telephone_number": "401-413-3176",
            "fax_number": "813-280-9696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 S STERLING AVE STE 214",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336094542",
            "telephone_number": "401-413-3176",
            "fax_number": "813-280-9696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR ERICA LOPEZ LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-29",
        "last_updated": "2017-11-29",
        "status": "A",
        "authorized_official_last_name": "CROSSMAN",
        "authorized_official_first_name": "DANA",
        "authorized_official_title_or_position": "BILLING / COLLECTIONS",
        "authorized_official_telephone_number": "401-413-3176"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH9165",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Tampa, FL
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2017; 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.