Active NPI
Eric Klos, D.C, C.C.N
- Nutrition Chiropractor
- Kirkland, WA
National Provider Identifier
1689884819
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutrition Chiropractor
- License
- 63098
- Practice address
- 634 7TH Ave
Kirkland, WA 98033-5665 - Phone
- (425) 822-2858
- Fax
- (425) 822-5611
- NPI assigned
- May 23, 2007
- 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 |
|---|---|---|---|---|
| Nutrition Chiropractor | 111NN1001X | 63098 | WA | Primary |
Addresses
Primary practice location
634 7TH Ave
Kirkland, WA 98033-5665
Mailing address
634 7TH Ave
Kirkland, WA 98033-5665
Phone (425) 822-2858
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 63098 | Other | WA | L&I # |
| 2542 | Other | WA | LICENSE NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 63098 | WA | MD | Nutrition Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179878400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1689884819",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "634 7TH AVE",
"city": "KIRKLAND",
"state": "WA",
"postal_code": "980335665",
"telephone_number": "425-822-2858",
"fax_number": "425-822-5611"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "634 7TH AVE",
"city": "KIRKLAND",
"state": "WA",
"postal_code": "980335665",
"telephone_number": "425-822-2858",
"fax_number": "425-822-5611"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KLOS",
"first_name": "ERIC",
"credential": "D.C, C.C.N",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111NN1001X",
"taxonomy_group": "",
"desc": "Chiropractor, Nutrition",
"state": "WA",
"license": "63098",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "L&I #",
"identifier": "63098",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE NUMBER",
"identifier": "2542",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Kirkland, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.