Individual provider Active NPI

Eric Ryan Loberg, D.C.

  • Chiropractor
  • Seattle, WA
National Provider Identifier
1225012768
Registry record updated Jul 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH00034106 Issued in WA
Practice address
9455 35TH Ave SW
Suite E
Seattle, WA 98126-3898
Phone
(206) 932-8320
Fax
(206) 932-6941
NPI assigned
Nov 29, 2005
Last updated
Jul 1, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 1, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH00034106 WA Primary

Addresses

Primary practice location

9455 35TH Ave SW
Suite E
Seattle, WA 98126-3898

Mailing address

9455 35TH Ave SW
Suite E
Seattle, WA 98126-3898
Phone (206) 932-8320

Other identifiers 4

IdentifierTypeStateIssuer
215865OtherWALABOR & INDUSTRIES
5711LOOtherWAREGENCE BLUE SHIELD
614143800OtherWAOWCP
1457490542OtherWAGROUP NPI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070206000040 WA Practitioner - Chiropractic 7012919970 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Western States College of Chiropractic, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

9455 35TH Ave SW
Seattle, WA 98126-3898
Phone (206) 932-8320

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
35TH Avenue Chiropractic PLLC Chiropractor CurrentSince Aug 1, 2006 Accepting new patients
Sallas Chiropractic LLC Chiropractor PastSince Apr 9, 2024 Accepting new patients
Premier Chiropractic 4 PLLC Chiropractor Past Accepting new patients
Wright Life Chiropractic Chiropractor PastSince Jun 1, 2009 Accepting new patients

Locations

9455 35th Ave SW
Seattle, WA 98126
Phone (206) 932-8320

9455 35th Ave SW
Ste E
Seattle, WA 98126
Phone (206) 713-0312

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1133222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277942400000",
    "number": "1225012768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9455 35TH AVE SW",
            "address_2": "SUITE E",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981263898",
            "telephone_number": "206-932-8320",
            "fax_number": "206-932-6941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9455 35TH AVE SW",
            "address_2": "SUITE E",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981263898",
            "telephone_number": "206-932-8320",
            "fax_number": "206-932-6941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOBERG",
        "first_name": "ERIC",
        "middle_name": "RYAN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-29",
        "last_updated": "2010-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00034106",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR & INDUSTRIES",
            "identifier": "215865",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE BLUE SHIELD",
            "identifier": "5711LO",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OWCP",
            "identifier": "614143800",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1457490542",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2010; 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.