Individual provider Active NPI

Tallon Lobbestael, DC

  • Chiropractor
  • Vancouver, WA
National Provider Identifier
1205703055
Registry record updated Oct 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIR.CH.70053642 Issued in WA
Practice address
318 NE 99TH St Ste L
Vancouver, WA 98665-5902
Phone
(360) 558-7904
NPI assigned
Oct 17, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHIR.CH.70053642 WA Primary

Addresses

Primary practice location

318 NE 99TH St Ste L
Vancouver, WA 98665-5902

Mailing address

318 NE 99TH St Ste L
Vancouver, WA 98665-5902
Phone (360) 558-7904

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251211004331 WA Practitioner - Chiropractic 9335633775 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Opdahl Chiropractic Office Inc.Group PAC ID 7810973104, 8 clinicians

Practice addresses (Care Compare)

105 N Pkwy Ave
Suite 101
Battle Ground, WA 98604-9129
Phone (360) 666-6001

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CHIR.CH.70053642WAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Opdahl Chiropractic Office Inc. Chiropractor CurrentSince Oct 15, 2025 Accepting new patients

Locations

105 N Parkway Ave
Ste 101
Battle Ground, WA 98604
Phone (360) 666-6001

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1760659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760659200000",
    "number": "1205703055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "318 NE 99TH ST STE L",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986655902",
            "telephone_number": "360-558-7904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "318 NE 99TH ST STE L",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986655902",
            "telephone_number": "360-558-7904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOBBESTAEL",
        "first_name": "TALLON",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-10-17",
        "last_updated": "2025-10-17",
        "certification_date": "2025-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CHIR.CH.70053642",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.