Active NPI
Eric Ryan Loberg, D.C.
- Chiropractor
- Seattle, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH00034106
- 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, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 215865 | Other | WA | LABOR & INDUSTRIES |
| 5711LO | Other | WA | REGENCE BLUE SHIELD |
| 614143800 | Other | WA | OWCP |
| 1457490542 | Other | WA | GROUP NPI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| 35TH Avenue Chiropractic PLLC | Chiropractor | Current | Accepting new patients |
| Sallas Chiropractic LLC | Chiropractor | Past | Accepting new patients |
| Premier Chiropractic 4 PLLC | Chiropractor | Past | Accepting new patients |
| Wright Life Chiropractic | Chiropractor | Past | 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.
-
- Chiropractor
- Seattle, WA
- NPI 1457490542
-
- Chiropractor
- Bellevue, WA
- NPI 1205028826
-
- Chiropractor
- Bellevue, WA
- NPI 1831323609
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.