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DR. AMANDA KRYSTAL LOPEZ DC
NPI 1417488495
Chiropractor in Albuquerque, NM

Active since March 22, 2017
7007 WYOMING BLVD NE STE A3, ALBUQUERQUE, NM 87109(505) 822-5001 Get Directions Write a Review

NPPES record last updated: September 2, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 10, 2019, Dec 6, 2019, Mar 22, 2017 (3 updates tracked since 2017).

About Dr. Amanda Krystal Lopez Dc NPPES

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

DR. AMANDA KRYSTAL LOPEZ DC (NPI 1417488495) is an individual chiropractor in Albuquerque, New Mexico, licensed in New Mexico (2154) and active in the NPI registry since March 2017. She maintains a secondary practice location in Albuquerque and is a graduate of Other (2014).

NPPES Registry Identity

NPI1417488495
Entity TypeIndividualFemale
Primary Taxonomy111N00000X
Provider Legal NameDR. AMANDA KRYSTAL LOPEZCredential: DC
Location Address7007 WYOMING BLVD NE STE A3Albuquerque, NM 87109-6941
Mailing Address7007 Wyoming Blvd Ne Ste A3Albuquerque, NM 87109-6941 · (505) 822-5001
Phone(505) 822-5001
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateMarch 22, 2017
Last NPPES UpdateSeptember 2, 20213 updates tracked since enumeration
NPPES CertifiedSeptember 2, 2021
✔ NPI 1417488495 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in NM · 2154
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.
7007 WYOMING BLVD NE STE A3, Albuquerque, NM 87109
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Secondary Practice Location 1

Location 16001 Winter Haven Dr NW Ste HAlbuquerque, NM 87120-1746 · Phone (505) 724-9000

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Amanda Krystal Lopez Dc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8123386984
PECOS Enrollment IDI20171227002722

Medicare Billing Reassignment

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

Active Chiropractic Spine & Joint Center, LLC
Same address
Chiropractor
7007 WYOMING BLVD NE STE A3
Albuquerque, NM 87109
  • Reassigned Medicare billing, New Mexico enrollment
  • 3 clinicians in this Medicare group
NPI 1427486877 (505) 699-4594

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.

ACTIVE CHIROPRACTIC SPINE & JOINT CENTER, LLC
Chiropractor
7007 WYOMING BLVD NE STE A3
ALBUQUERQUE, NM 87109
Bernalillo County (505) 699-4594

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 Amanda Lopez's NPI number?

The NPI number for Amanda Lopez is 1417488495. It was assigned to this individual provider in the NPPES registry on March 22, 2017.

Where is Amanda Lopez located?

Amanda Lopez practices at 7007 Wyoming Blvd NE Ste A3, Albuquerque, NM 87109. The listed phone number is (505) 822-5001.

What is Amanda Lopez's specialty?

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

Is Amanda Lopez enrolled in Medicare?

Yes. Amanda Lopez is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Amanda Lopez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Amanda Lopez reassigns Medicare benefits to Active Chiropractic Spine & Joint Center, LLC (Albuquerque, NM). 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 Amanda Lopez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Amanda Lopez was last updated on September 2, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.