Active NPI
Larry Christopher Lopez, DOCTOR OF CHIROPRACT
- Chiropractor
- Brentwood, CA
National Provider Identifier
1306871611
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 16601
- Practice address
- 232 Chestnut St
Brentwood, CA 94513 - Phone
- (925) 634-1101
- Fax
- (925) 634-1156
- NPI assigned
- Jul 12, 2006
- Last updated
- Feb 22, 2010
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 16601 | CA | Primary |
| Acupuncturist | 171100000X | AC13269 | CA |
Addresses
Primary practice location
232 Chestnut St
Brentwood, CA 94513
Mailing address
232 Chestnut St
Brentwood, CA 94513
Phone (925) 634-1101
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040426001449 | CA | Practitioner - Chiropractic | 0345237111 | Practice locations: Brentwood, CA |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AC13269 | CA | MD | Acupuncturist |
| 16601 | CA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1266796800000",
"number": "1306871611",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "232 CHESTNUT ST",
"city": "BRENTWOOD",
"state": "CA",
"postal_code": "94513",
"telephone_number": "925-634-1101",
"fax_number": "925-634-1156"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "232 CHESTNUT ST",
"city": "BRENTWOOD",
"state": "CA",
"postal_code": "94513",
"telephone_number": "925-634-1101",
"fax_number": "925-634-1156"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOPEZ",
"first_name": "LARRY",
"middle_name": "CHRISTOPHER",
"credential": "DOCTOR OF CHIROPRACT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-12",
"last_updated": "2010-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "16601",
"primary": true
},
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "AC13269",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brentwood, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2010; 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.