Lupe J Sanchez IV, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

5032 Issued in OR

Practice address

16742 SE Division St
Portland, OR 97236-1414

Phone

(503) 761-0252

Fax

(503) 761-8974

NPI assigned

Oct 15, 2012

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Tacoma Chiropractic Center LLCGroup PAC ID 9436200458, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Tacoma Chiropractic Center LLC

  • Chiropractor
  • Tacoma, WA
  • NPI 1710121322
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1350259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350259200000",
    "number": "1497007405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16742 SE DIVISION ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972361414",
            "telephone_number": "503-761-0252",
            "fax_number": "503-761-8974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16742 SE DIVISION ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972361414",
            "telephone_number": "503-761-0252",
            "fax_number": "503-761-8974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANCHEZ",
        "first_name": "LUPE",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "name_suffix": "IV",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-10-15",
        "last_updated": "2012-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "5032",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Isaias Mauricio Sanchez
• Jacob Ray Sanchez
• John Sanchez
• Kathy Sanchez, CADC-II, QMHA
• Luis Sanchez
• Marcos A. Sanchez, BSN, RN
• Maria Sanchez
• Melody Ann Sanchez
• Monserrat Sanchez
• Rebecca Sanchez, DC

• Chiropractor in Portland, OR
• Providers in Portland, OR by specialty
• Chiropractor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2012; 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.