Individual provider Active NPI

Ryan Schoeb, DC

  • Chiropractor
  • Seattle, WA
National Provider Identifier
1962455410
Registry record updated May 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH00034382 Issued in WA
Practice address
3727 California Ave SW Ste 2a
Seattle, WA 98116-4303
Phone
(206) 923-2225
NPI assigned
May 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH00034382 WA Primary

Addresses

Primary practice location

3727 California Ave SW Ste 2a
Seattle, WA 98116-4303

Mailing address

3727 California Ave SW Ste 2a
Seattle, WA 98116-4303
Phone (206) 923-2225

Other practice location 1

433 State St
Suite #3
Kirkland, WA 98033-6615
Phone (425) 827-4646

Other identifiers 1

IdentifierTypeStateIssuer
0176832OtherWALABOR & INDUSTRIES

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110719000799 WA Practitioner - Chiropractic 7315933629 Practice locations: Seattle, WA

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3727 California Ave SW
Suite 2a
Seattle, WA 98116-4303
Phone (206) 923-2225

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH00034382WAMDChiropractor
3998WIMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Odegard Chiropractic Clinic Past Accepting new patients

Organizations & group practices 1

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": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683504000000",
    "number": "1962455410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3727 CALIFORNIA AVE SW STE 2A",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981164303",
            "telephone_number": "206-923-2225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3727 CALIFORNIA AVE SW STE 2A",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981164303",
            "telephone_number": "206-923-2225"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "433 State St",
            "address_2": "Suite #3",
            "address_purpose": "LOCATION",
            "city": "Kirkland",
            "state": "WA",
            "postal_code": "980336615",
            "country_code": "US",
            "telephone_number": "425-827-4646",
            "fax_number": "425-827-1941",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHOEB",
        "first_name": "RYAN",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-18",
        "last_updated": "2023-05-08",
        "certification_date": "2023-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00034382",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR & INDUSTRIES",
            "identifier": "0176832",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2023; 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.