Individual provider Active NPI

Dennis James Lopez, D.C.

  • Chiropractor
  • Chicago, IL
National Provider Identifier
1316131873
Registry record updated Oct 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038-010594 Issued in IL
Practice address
920 W Van Buren St
Chicago, IL 60607-3520
Phone
(661) 378-8132
NPI assigned
Aug 28, 2007
Last updated
Oct 20, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 20, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038-010594 IL Primary

Addresses

Primary practice location

920 W Van Buren St
Chicago, IL 60607-3520

Mailing address

920 W Van Buren St
Chicago, IL 60607-3520
Phone (661) 378-8132

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240528002546 CA Practitioner - Chiropractic 0244301562 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5055 N Harbor Dr
Suite 100
San Diego, CA 92106-2302
Phone (619) 523-9355

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
038-010594ILMDChiropractor
35018CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Hummel Chiropractic Center Professional Corp Chiropractor CurrentSince Apr 15, 2024 Accepting new patients
Chiro One Wellness Center of Forest Park LLC Chiropractor PastSince Mar 29, 2012 Accepting new patients
Legendary Chiropractic Chiropractor PastSince Feb 25, 2024 Accepting new patients

Locations

5055 N Harbor Dr
Ste 100
San Diego, CA 92106
Phone (619) 523-9355

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1188259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287532800000",
    "number": "1316131873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 W VAN BUREN ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606073520",
            "telephone_number": "661-378-8132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 W VAN BUREN ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606073520",
            "telephone_number": "661-378-8132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "DENNIS",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-08-28",
        "last_updated": "2010-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038-010594",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.