Active NPI
Lincoln Kamell, D.C.
- Sports Physician Chiropractor
- Seattle, WA
National Provider Identifier
1164457123
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Physician Chiropractor
- License
- 2489
- Practice address
- 2946 Eastlake Ave E
Seattle, WA 98102-3010 - Phone
- (206) 324-8600
- Fax
- (206) 322-8520
- NPI assigned
- Jul 11, 2006
- Last updated
- Mar 28, 2022
- 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 |
|---|---|---|---|---|
| Sports Physician Chiropractor | 111NS0005X | 2489 | WA | Primary |
Addresses
Primary practice location
2946 Eastlake Ave E
Seattle, WA 98102-3010
Mailing address
2946 Eastlake Ave E
Seattle, WA 98102-3010
Phone (206) 324-8600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 911805909 | Other | WA | TAX ID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Logan College of Chiropractic, 1990
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
2946 Eastlake Ave E
Seattle, WA 98102-3010
Phone (206) 324-8600
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2489 | WA | MD | Sports Physician Chiropractor |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Sports Physician Chiropractor
- Seattle, WA
- NPI 1457489833
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1648425600000",
"number": "1164457123",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2946 EASTLAKE AVE E",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981023010",
"telephone_number": "206-324-8600",
"fax_number": "206-322-8520"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2946 EASTLAKE AVE E",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981023010",
"telephone_number": "206-324-8600",
"fax_number": "206-322-8520"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAMELL",
"first_name": "LINCOLN",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-11",
"last_updated": "2022-03-28",
"certification_date": "2022-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "111NS0005X",
"taxonomy_group": "",
"desc": "Chiropractor, Sports Physician",
"state": "WA",
"license": "2489",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID",
"identifier": "911805909",
"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 Mar 28, 2022; 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.