Individual provider Active NPI

Erika Claire O'Leary, D.C.

  • Chiropractor
  • Bremerton, WA
National Provider Identifier
1700298510
Registry record updated Sep 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH60456517 Issued in WA
Practice address
1100 Wheaton Way Ste B
Bremerton, WA 98310-4459
Phone
(360) 499-6309
NPI assigned
May 28, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 9, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH60456517 WA Primary

Addresses

Primary practice location

1100 Wheaton Way Ste B
Bremerton, WA 98310-4459

Mailing address

1100 Wheaton Way Ste B
Bremerton, WA 98310-4459
Phone (360) 499-6309

Other practice location 1

12901 SE Kent Kangley Rd
Kent, WA 98030-7939
Phone (253) 630-1575

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170828003986 WA Practitioner - Chiropractic 2365715265 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1100 Wheaton Way
Suite B
Bremerton, WA 98310-4459
Phone (360) 627-7029

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Lake Meridian Chiropractic Chiropractor CurrentSince Jul 10, 2017 Accepting new patients
Erika Oleary PLLC CurrentSince Sep 3, 2019 Accepting new patients

Locations

1100 Wheaton Way
Ste B
Bremerton, WA 98310
Phone (360) 373-8899

12901 SE Kent Kangley Rd
Kent, WA 98030
Phone (253) 630-1575

Organizations & group practices 2

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": "1401235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567987200000",
    "number": "1700298510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 WHEATON WAY STE B",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "983104459",
            "telephone_number": "360-499-6309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 WHEATON WAY STE B",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "983104459",
            "telephone_number": "360-499-6309"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12901 SE KENT KANGLEY RD",
            "address_purpose": "LOCATION",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980307939",
            "country_code": "US",
            "telephone_number": "253-630-1575",
            "fax_number": "253-630-4650",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "O'LEARY",
        "first_name": "ERIKA",
        "middle_name": "CLAIRE",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-05-28",
        "last_updated": "2019-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH60456517",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bremerton, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2019; 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.