Active NPI
Santiago Lopez, DC
- Chiropractor
- Davenport, FL
National Provider Identifier
1740530542
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH10719
- Practice address
- 170 Hastead Dr
Davenport, FL 33897 - Phone
- (407) 616-5162
- NPI assigned
- Sep 19, 2012
- 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 | CH10719 | FL | Primary |
Addresses
Primary practice location
170 Hastead Dr
Davenport, FL 33897
Mailing address
170 Hastead Dr
Davenport, FL 33897
Phone (407) 616-5162
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 111N00000X | Other | FL | TAXONOMY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| B & T Medical Center LLC | Current | Accepting new patients | |
| Elite Chiropractic Clinic, Inc | Current | Accepting new patients |
Organizations & group practices 2
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.
-
- Rehabilitation Chiropractor
- Greenacres, FL
- NPI 1437970225
-
- Multi-Specialty Clinic/Center
- Kissimmee, FL
- NPI 1497938344
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1348012800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1348012800000",
"number": "1740530542",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "170 HASTEAD DR",
"city": "DAVENPORT",
"state": "FL",
"postal_code": "33897",
"telephone_number": "407-616-5162"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "170 HASTEAD DR",
"city": "DAVENPORT",
"state": "FL",
"postal_code": "33897",
"telephone_number": "407-616-5162"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOPEZ",
"first_name": "SANTIAGO",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-09-19",
"last_updated": "2012-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "FL",
"license": "CH10719",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAXONOMY",
"identifier": "111N00000X",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Davenport, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.