DR. ANTHONY WILLIAM LOPEZ JR. DC
NPI 1104312735
Chiropractor in Gulfport, MS

Active since July 06, 2018Accepts Medicare Assignment
15007 CREOSOTE RD STE A, GULFPORT, MS 39503(228) 533-2733 Get Directions Write a Review

NPPES record last updated: July 6, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Anthony William Lopez Jr. Dc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ANTHONY WILLIAM LOPEZ JR. DC (NPI 1104312735) is an individual chiropractor in Gulfport, Mississippi, licensed in Mississippi (1287) and active in the NPI registry since July 2018. He is a graduate of Life Chiropractic College (2018).

NPPES Registry Identity

NPI1104312735
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. ANTHONY WILLIAM LOPEZ JR.Credential: DC
Location Address15007 CREOSOTE RD STE AGulfport, MS 39503-4392
Mailing Address310 W Old Pass RdLong Beach, MS 39560-4528 · (601) 870-0732
Sole ProprietorNo
Medical School CMSLife Chiropractic CollegeGraduated 2018
Enumeration DateJuly 6, 2018
✔ NPI 1104312735 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in MS · 1287
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
15007 CREOSOTE RD STE A, Gulfport, MS 39503

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Anthony William Lopez Jr. Dc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1658621883
PECOS Enrollment IDI20180907002580

Medicare Billing Reassignment

Medicare enrollment records show Anthony Lopez reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Chiropractor
15007 CREOSOTE RD STE A
Gulfport, MS 39503
  • Reassigned Medicare billing, Mississippi enrollment

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Chiropractor
15007 CREOSOTE RD STE A
GULFPORT, MS 39503

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Anthony Lopez's NPI number?

The NPI number for Anthony Lopez is 1104312735. It was assigned to this individual provider in the NPPES registry on July 6, 2018.

Where is Anthony Lopez located?

Anthony Lopez practices at 15007 Creosote Rd Ste A, Gulfport, MS 39503. The listed phone number is (228) 533-2733.

What is Anthony Lopez's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Anthony Lopez enrolled in Medicare?

Yes. Anthony Lopez is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Anthony Lopez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Anthony Lopez reassigns Medicare benefits to Clear Families Chiropractic LLC (Gulfport, MS). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Anthony Lopez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Anthony Lopez accept?

Health plans from UnitedHealthcare list Anthony Lopez as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Anthony Lopez was last updated on July 6, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.