Samuel John Loosli, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH60203954 Issued in WA

Practice address

19201 108TH Ave SE Ste 101
Renton, WA 98055-7379

Phone

(253) 859-6441

Fax

(253) 859-9437

NPI assigned

Feb 4, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

• Marsh Chiropractic, PS

  • Massage Therapist
  • Renton, WA
  • NPI 1063570539

  Chiropractor

  NPD (past)
• Petrilli Chiropractic Services PS

  • Chiropractor
  • Renton, WA
  • NPI 1467678037
  NPD (past)

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

{
    "created_epoch": "1296777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1296777600000",
    "number": "1700182995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19201 108TH AVE SE STE 101",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980557379",
            "telephone_number": "253-859-6441",
            "fax_number": "253-859-9437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19201 108TH AVE SE STE 101",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980557379",
            "telephone_number": "253-859-6441",
            "fax_number": "253-859-9437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOOSLI",
        "first_name": "SAMUEL",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-02-04",
        "last_updated": "2011-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH60203954",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF WASHINGTON",
            "identifier": "CH60203954",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hailee Jane Lombardo, SLP
• Elyse London, PHARMD
• Peni Robin Longmate, RNFA
• Abigail Longner, D.C.
• Linus A Loo, MD
• Adriana Lopez-Esteban, LICSW
• Connie Danielle Lopez, LMP
• Lori Kimmerly Therapy and Coaching PLLC
• Jared Lothyan, D.D.S.
• Iryna S Lototska, M.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.