1. Home
  2. Directory
  3. Wisconsin
  4. Appleton
  5. Chiropractor
  6. NPI Profile

DR. ANTONIO LOPEZ JR. DC
NPI 1164291415
Chiropractor - Rehabilitation in Appleton, WI

Active since December 28, 2023Accepts Medicare Assignment
N110 BRUX RD, APPLETON, WI 54915(920) 968-0464 Get Directions Write a Review

NPPES record last updated: September 10, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 10, 2025, Feb 13, 2025 (2 updates tracked since 2025).

About Dr. Antonio Lopez Jr. Dc NPPES

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

DR. ANTONIO LOPEZ JR. DC (NPI 1164291415) is an individual rehabilitation provider in Appleton, Wisconsin, licensed in Wisconsin (6275-12) and active in the NPI registry since December 2023. He is a graduate of Northwestern College Of Chiropractic (2024).

NPPES Registry Identity

NPI1164291415
Entity TypeIndividualMale
Primary Taxonomy111NR0400X
Provider Legal NameDR. ANTONIO LOPEZ JR.Credential: DC
Location AddressN110 BRUX RDAppleton, WI 54915-9439
Mailing AddressN110 Brux RdAppleton, WI 54915-9439 · (920) 968-0464 · Fax (920) 968-0482
Phone(920) 968-0464
Sole ProprietorNo
Medical School CMSNorthwestern College Of ChiropracticGraduated 2024
Enumeration DateDecember 28, 2023
Last NPPES UpdateSeptember 10, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 10, 2025
✔ NPI 1164291415 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractor · RehabilitationChiropractic Providers
Taxonomy Code111NR0400X
License✔ Licensed in WI · 6275-12
Definition
Rehabilitation is the discipline focused on restoring a patient's functional abilities to pre-injury or pre-disease status. Functional abilities are defined as those activities in one's daily life, work, or sports and recreational activities that an individual participates in. Relevant impairments (e.g. strength, endurance, flexibility, motor control, etc.) are often intermediate goals of rehabilitation, but the final goal of successful care is return to participation in activities in which the patient was successful before the onset of the injury or disease. Essential to a rehabilitation approach is a focus on patient-centered outcomes such as independence and self-management or self-care skills.
N110 BRUX RD, Appleton, WI 54915
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Dean Health Plan.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. Antonio 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 ID3971033994
PECOS Enrollment IDI20250206000743

Medicare Billing Reassignment

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

Wagner Family Chiropractic Sc
Same address
Chiropractor
N110 BRUX RD
Appleton, WI 54915
  • Reassigned Medicare billing, Wisconsin enrollment
  • 4 clinicians in this Medicare group
NPI 1295857928 (920) 968-0464

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 7

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

WAGNER FAMILY CHIROPRACTIC SC
Massage Therapist
N110 BRUX RD
APPLETON, WI 54915
Calumet County (920) 968-0464
WAGNER FAMILY CHIROPRACTIC SC
Chiropractor
N110 BRUX RD
APPLETON, WI 54915
Calumet County (920) 968-0464
DR. MEGAN ELIZABETH GORDLEY DC
Chiropractor
N110 BRUX RD
APPLETON, WI 54915
Calumet County (920) 968-0464
DR. JODY MICHELLE WAGNER D.C.
Chiropractor
N110 BRUX RD
APPLETON, WI 54915
Calumet County (920) 968-0464
MICHAEL RYAN FETTER DC
Chiropractor
N110 BRUX RD
APPLETON, WI 54915
Calumet County (920) 968-0464
TAMI KLAUER
Massage Therapist
N110 BRUX RD
APPLETON, WI 54915
Calumet County (192) 096-8046
DR. MICHAEL RYAN WAGNER D.C.
Chiropractor
N110 BRUX RD
APPLETON, WI 54915
Calumet County (920) 968-0464

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 Antonio Lopez's NPI number?

The NPI number for Antonio Lopez is 1164291415. It was assigned to this individual provider in the NPPES registry on December 28, 2023.

Where is Antonio Lopez located?

Antonio Lopez practices at N110 Brux Rd, Appleton, WI 54915. The listed phone number is (920) 968-0464.

What is Antonio Lopez's specialty?

The primary specialty registered for this NPI is Chiropractor, specializing in Rehabilitation, with taxonomy code 111NR0400X.

Is Antonio Lopez enrolled in Medicare?

Yes. Antonio 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 Antonio Lopez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Antonio Lopez reassigns Medicare benefits to Wagner Family Chiropractic Sc (Appleton, WI). 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 Antonio Lopez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Antonio Lopez accept?

Health plans from Dean Health Plan list Antonio 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 Antonio Lopez was last updated on September 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.