Individual provider Active NPI

Aleksander Peter Rybar, DC

  • Chiropractor
  • Vancouver, WA
National Provider Identifier
1336947662
Registry record updated Mar 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH61641478 Issued in WA
Practice address
10303 NE Fourth Plain Blvd Ste 105
Vancouver, WA 98662-5807
Phone
(503) 432-1061
NPI assigned
Mar 4, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 6438 OR
Chiropractor 111N00000X CH61641478 WA Primary

Addresses

Primary practice location

10303 NE Fourth Plain Blvd Ste 105
Vancouver, WA 98662-5807

Mailing address

16516 SE Mill Plain Blvd Apt 131
Vancouver, WA 98684-9605
Phone (360) 431-6327

Other practice location 1

237 NE Broadway St Ste 245
Portland, OR 97232-1128
Phone (503) 432-1061

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260604002537 WA Practitioner - Chiropractic 8325519937 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Western States College of Chiropractic, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Spine Align Northwest PCGroup PAC ID 5193115129, 2 clinicians

Practice addresses (Care Compare)

262 N 1St St
Suite 1
Kalama, WA 98625-9100
Phone (360) 673-9555

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH61641478WAMDChiropractor
6438ORMDGeneral Practice Dentistry

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": "1741046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741046400000",
    "number": "1336947662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16516 SE MILL PLAIN BLVD APT 131",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986849605",
            "telephone_number": "360-431-6327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10303 NE FOURTH PLAIN BLVD STE 105",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986625807",
            "telephone_number": "503-432-1061"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "237 NE Broadway St Ste 245",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972321128",
            "country_code": "US",
            "telephone_number": "503-432-1061",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RYBAR",
        "first_name": "ALEKSANDER",
        "middle_name": "PETER",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-03-04",
        "last_updated": "2025-03-04",
        "certification_date": "2025-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "6438",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH61641478",
            "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 Mar 4, 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.