Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Antonio Lopez Jr., DC

Individual provider Rehabilitation Chiropractor · NPI 1164291415

Dr. Antonio Lopez Jr., DC is a Chiropractic in Appleton, Wisconsin. Graduated from Northwestern College of Chiropractic in 2024, 2 years ago. Practices with Wagner Family Chiropractic SC, a 4-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
2
Trained at
Northwestern College of Chiropractic
Licensed in
WI
In the registry since
2023
What do these letters mean?
DC — Doctor of Chiropractic
A licensed chiropractor.

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Practice location Address checks out

N110 Brux Rd
Appleton, WI 54915-9439
Phone: (920) 968-0464
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Rehabilitation Chiropractor (primary) Taxonomy 111NR0400X · Licence 6275-12 (WI)

Record details

NPI number1164291415
Entity typeIndividual (Type 1)
GenderMale
Credentials DC
Sole proprietorNo
NPI enumeratedDecember 28, 2023
Last updated in NPPESSeptember 10, 2025
Certification dateSeptember 10, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCHIROPRACTIC
Medical schoolNORTHWESTERN COLLEGE OF CHIROPRACTIC
Graduated 2024 (2 years in practice)
Group practice Wagner Family Chiropractic Sc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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