Active NPI
Robert Leon Lopez, D.C.
- Chiropractor
- Sierra Vista, AZ
National Provider Identifier
1295722775
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 864
- Practice address
- 4527 S Hwy 92
Sierra Vista, AZ 85650-9624 - Phone
- (520) 378-2777
- Fax
- (520) 378-2780
- NPI assigned
- Sep 30, 2005
- 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 | 864 | AZ | Primary |
Addresses
Primary practice location
4527 S Hwy 92
Sierra Vista, AZ 85650-9624
Mailing address
4527 S Hwy 92
Sierra Vista, AZ 85650-9624
Phone (520) 378-2777
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P0086830 | Other | AZ | BLUE CROSS/BLUE SHIELD |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 864 | AZ | MD | Foot & Ankle Surgery Podiatrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128038400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1191456000000",
"number": "1295722775",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4527 S HWY 92",
"city": "SIERRA VISTA",
"state": "AZ",
"postal_code": "856509624",
"telephone_number": "520-378-2777",
"fax_number": "520-378-2780"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4527 S HWY 92",
"city": "SIERRA VISTA",
"state": "AZ",
"postal_code": "856509624",
"telephone_number": "520-378-2777",
"fax_number": "520-378-2780"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOPEZ",
"first_name": "ROBERT",
"middle_name": "LEON",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-09-30",
"last_updated": "2007-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "AZ",
"license": "864",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS/BLUE SHIELD",
"identifier": "P0086830",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Sierra Vista, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 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.