Individual provider Active NPI

Angelica Lopez Velazquez, DC

  • Chiropractor
  • San Antonio, TX
National Provider Identifier
1790561728
Registry record updated Sep 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
14864 Issued in TX
Practice address
7706 Bandera Rd Ste 104E
San Antonio, TX 78238-1473
Phone
(210) 763-7763
NPI assigned
Sep 5, 2023
Last updated
Sep 5, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 5, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 14864 TX Primary
Rehabilitation Chiropractor 111NR0400X 14864 TX
Independent Medical Examiner Chiropractor 111NI0013X 14864 TX

Addresses

Primary practice location

7706 Bandera Rd Ste 104E
San Antonio, TX 78238-1473

Mailing address

8323 Piedra Medina
San Antonio, TX 78252-4519

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
14864TXMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1693872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693872000000",
    "number": "1790561728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8323 PIEDRA MEDINA",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782524519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7706 BANDERA RD STE 104E",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782381473",
            "telephone_number": "210-763-7763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ VELAZQUEZ",
        "first_name": "ANGELICA",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-05",
        "last_updated": "2023-09-05",
        "certification_date": "2023-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "14864",
            "primary": true
        },
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "TX",
            "license": "14864",
            "primary": false
        },
        {
            "code": "111NI0013X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Independent Medical Examiner",
            "state": "TX",
            "license": "14864",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.