Active NPI
Rafael Lopez, D.C.
- Chiropractor
- Georgetown, TX
National Provider Identifier
1306559497
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 15346
- Practice address
- 101 Cooperative Way Ste 235
Georgetown, TX 78626-8211 - Phone
- (512) 630-0060
- NPI assigned
- Jan 4, 2023
- 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 | 15346 | TX | Primary |
Addresses
Primary practice location
101 Cooperative Way Ste 235
Georgetown, TX 78626-8211
Mailing address
5833 Casstello Dr
Round Rock, TX 78665-3210
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15346 | TX | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Georgetown Integrated Medical PLLC | Chiropractor | Current | Accepting new patients |
Locations
101 Cooperative Way
Ste 235
Georgetown, TX 78626
Phone (512) 630-0060
2201 Double Creek Dr
Ste 4001
Round Rock, TX 78664
Phone (512) 630-0060
1602 W Avenue A
Temple, TX 76504
Phone (254) 778-6474
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 and National Provider Directory roles.
-
- Physical Medicine & Rehabilitation Physician
- Georgetown, TX
- NPI 1437736634
Chiropractor
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1672790400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1672790400000",
"number": "1306559497",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5833 CASSTELLO DR",
"city": "ROUND ROCK",
"state": "TX",
"postal_code": "786653210"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 COOPERATIVE WAY STE 235",
"city": "GEORGETOWN",
"state": "TX",
"postal_code": "786268211",
"telephone_number": "512-630-0060"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOPEZ",
"first_name": "RAFAEL",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-01-04",
"last_updated": "2023-01-04",
"certification_date": "2023-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TX",
"license": "15346",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Georgetown, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.