NPIMap

Organization Active NPI

Asdrubal I Lopez, DC, PS

  • Medical Specialty Clinic/Center
  • Spokane Valley, WA
National Provider Identifier
1548500069
Registry record updated Aug 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
Legal business name
ASDRUBAL I LOPEZ, DC, PS
Practice address
902 S Sullivan Rd
Spokane Valley, WA 99037-9754
Phone
(509) 922-1909
Fax
(509) 922-6648
NPI assigned
Feb 20, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2022

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

Authorized official

Name
Mrs. Alicia B Crum
Title
Office Manager
Phone
(509) 922-1909

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X Primary

Addresses

Primary practice location

902 S Sullivan Rd
Spokane Valley, WA 99037-9754

Mailing address

902 S Sullivan Rd
Spokane Valley, WA 99037-9754
Phone (509) 922-1909

Other names 1

  • Summit Chiropractic & Sports Institute Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160217002275 WA Part B Supplier - Clinic/Group Practice 9931404654 Receives reassigned benefits from 1 practitioner
Practice locations: Spokane Valley, WA

National Provider Directory

National Provider Directory

Locations

1124 S Pines Rd
Spokane Valley, WA 99206
Phone (509) 922-1909

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1361318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659571200000",
    "number": "1548500069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "902 S SULLIVAN RD",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "990379754",
            "telephone_number": "509-922-1909",
            "fax_number": "509-922-6648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "902 S SULLIVAN RD",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "990379754",
            "telephone_number": "509-922-1909",
            "fax_number": "509-922-6648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASDRUBAL I LOPEZ, DC, PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-20",
        "last_updated": "2022-08-04",
        "certification_date": "2022-08-04",
        "status": "A",
        "authorized_official_last_name": "CRUM",
        "authorized_official_first_name": "ALICIA",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "509-922-1909",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Summit Chiropractic & Sports Institute",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Summit Chiropractic & Sports Institute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Spokane Valley, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2022; 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.

Verify at the official NPI Registry.