DR. SAMUEL SISTO-LOPEZ DC
NPI 1467083097
Chiropractor in Woodburn, OR

Q: What is Samuel Sisto-lopez's NPI number?

The NPI number for Samuel Sisto-lopez is 1467083097. It was assigned to this individual provider in the NPPES registry on February 2, 2020.

Q: What is Samuel Sisto-lopez's specialty?

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

Active since February 02, 2020

1034 N BOONES FERRY RD, WOODBURN, OR 97071(503) 603-3342(503) 688-9590 Get Directions Write a Review

NPPES record last updated: May 17, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 17, 2026, Feb 2, 2020 (2 updates tracked since 2020).

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About Dr. Samuel Sisto-lopez Dc NPPES

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

DR. SAMUEL SISTO-LOPEZ DC (NPI 1467083097) is an individual chiropractor in Woodburn, Oregon, licensed in Oregon (6108) and active in the NPI registry since February 2020.

NPPES Registry Identity

NPI1467083097

Entity TypeIndividualMale

Primary Taxonomy111N00000X

Provider Legal NameDR. SAMUEL SISTO-LOPEZCredential: DC

Location Address1034 N BOONES FERRY RDWoodburn, OR 97071-9602

Mailing Address1034 N Boones Ferry RdWoodburn, OR 97071-9602 · (503) 603-3342 · Fax (503) 688-9590

Phone(503) 603-3342

Fax(503) 688-9590

Sole ProprietorNo

Enumeration DateFebruary 2, 2020

Last NPPES UpdateMay 17, 20262 updates tracked since enumeration

NPPES CertifiedMay 17, 2026

✔ NPI 1467083097 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers

Taxonomy Code111N00000X

License✔ Licensed in OR · 6108

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.

1034 N BOONES FERRY RD, Woodburn, OR 97071

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., PacificSource Health Plans, Providence 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 (PECOS)

Dr. Samuel Sisto-lopez Dc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Samuel Sisto-lopez reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Hosmer Chiropractic Health LLC

28 mi

Primary Care

1030 NW MARSHALL ST
Portland, OR 97209

Reassigned Medicare billing, Oregon enrollment
15 clinicians in this Medicare group

NPI 1225316128 (503) 227-2279

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 2

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

TEEMU J. SCARBOROUGH DDS.

Dentist (General Practice)

1034 N BOONES FERRY RD
WOODBURN, OR 97071

Marion County (503) 982-9428

NUNI CHIROPRACTIC LLC

Chiropractor

1034 N BOONES FERRY RD
WOODBURN, OR 97071

Marion County (503) 603-3342

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 Samuel Sisto-lopez's NPI number?

The NPI number for Samuel Sisto-lopez is 1467083097. It was assigned to this individual provider in the NPPES registry on February 2, 2020.

Where is Samuel Sisto-lopez located?

Samuel Sisto-lopez practices at 1034 N Boones Ferry Rd, Woodburn, OR 97071. The listed phone number is (503) 603-3342.

What is Samuel Sisto-lopez's specialty?

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

Is Samuel Sisto-lopez enrolled in Medicare?

Yes. Samuel Sisto-lopez is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Samuel Sisto-lopez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Samuel Sisto-lopez reassigns Medicare benefits to Hosmer Chiropractic Health LLC (Portland, OR). 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 Samuel Sisto-lopez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Samuel Sisto-lopez accept?

Health plans from Moda Health Plan, Inc., PacificSource Health Plans and Providence Health Plan list Samuel Sisto-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 Samuel Sisto-lopez was last updated on May 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.