Theodore Bernard Loos, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC008617L Issued in PA

Practice address

6810 Ridge Ave
Philadelphia, PA 19128-2445

Phone

(610) 348-8138

Fax

(610) 643-6139

NPI assigned

Aug 8, 2006

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 PA

Enrollment records 1

Specialty

Chiropractic

Education

Life Chiropractic College - West, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Spine and Rehab Chiropractic, LLC

  • Chiropractor
  • Philadelphia, PA
  • NPI 1548333735
  Medicare reassignment Authorized official
• Theodore B. Loos, DC, PC

  • Chiropractor
  • Bryn Mawr, PA
  • NPI 1972678878
  NPD (past) Authorized official

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1199664000000",
    "number": "1477563807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6810 RIDGE AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191282445",
            "telephone_number": "610-348-8138",
            "fax_number": "610-643-6139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6810 RIDGE AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191282445",
            "telephone_number": "610-348-8138",
            "fax_number": "610-643-6139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOOS",
        "first_name": "THEODORE",
        "middle_name": "BERNARD",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-08",
        "last_updated": "2008-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC008617L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Lonsdale, ACNPC-AG
• Josephine Lontok, M.D.
• Heather Hsiu Wen Loo
• Kathleen M Loomes, M.D.
• Karen Loos, CRNP
• Arthur Miroslaw Lopatto, PA-C
• Alicia Loper, CRNP
• Sonia Couto Lopes-Llewellyn, CRNP
• Jennifer Lopes, DMD
• Dailiana Lopez Hechavarria, MPH

• Chiropractor in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Chiropractor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2008; 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.