Austin Edward Lubereski, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

60840831 Issued in WA

Practice address

11902 97TH Ave NE
Kirkland, WA 98034-1882

Phone

(425) 821-4600

NPI assigned

Apr 18, 2018

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ryan Coogan DC PSGroup PAC ID 9931119922, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Ryan Coogan DC PS

  dba Eastside Spine and Wellness

  • Chiropractor
  • Kirkland, WA
  • NPI 1942486857
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1524009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524009600000",
    "number": "1417444092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28716 18TH AVE S APT Y104",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980039290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11902 97TH AVE NE",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980341882",
            "telephone_number": "425-821-4600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUBERESKI",
        "first_name": "AUSTIN",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-04-18",
        "last_updated": "2018-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "60840831",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Baylee Lorenne
• Katie Loresch
• Rodney Lawrence Lough III
• Karina Lozano
• Xinyu Lu
• Anne Robinson Lucas
• Andrew D Ludwig, M.D.
• Daniel Luetmer, PT
• Jeffrey Man Fung Luk, M.D.
• Rose Wawa Lulengo

• Chiropractor in Kirkland, WA
• Providers in Kirkland, WA by specialty
• Chiropractor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2018; 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.