Xavier Lopez

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

5469-12 Issued in WI

Practice address

7115 Durand Ave Ste H
Mount Pleasant, WI 53177-1971

Phone

(262) 762-4844

NPI assigned

Jul 19, 2019

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in VI

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

VI Chiropractic LLCGroup PAC ID 1052615036, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• VI Chiropractic L.L.C.

  • Chiropractor
  • St. Thomas, VI
  • NPI 1104205053
  Medicare reassignment Care Compare group NPD
• Allied Health of Wisconsin, SC

  • Chiropractor
  • Wausau, WI
  • NPI 1487605051
  NPD (past)

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

{
    "created_epoch": "1563494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610928000000",
    "number": "1982257978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2625 BUTTERFIELD RD STE 301N",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605231266",
            "telephone_number": "630-468-1824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7115 DURAND AVE STE H",
            "city": "MOUNT PLEASANT",
            "state": "WI",
            "postal_code": "531771971",
            "telephone_number": "262-762-4844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "XAVIER",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-07-19",
        "last_updated": "2021-01-18",
        "certification_date": "2021-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "5469-12",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHIROPRACTIC LICENSE",
            "identifier": "5469-12",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer Lo
• Cassaundra Kathryn Loest, OTR
• Leah Lofquist
• James A Lois, RPH
• Kelsey Loney, SLP
• Kyla D Lowman
• Aubrey Lukas, DDS
• Rachel Lutz
• James V Lynott, MD
• Abigail Lyon, PA

• Chiropractor in Mount Pleasant, WI
• Providers in Mount Pleasant, WI by specialty
• Chiropractor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2021; 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.