Individual provider Active NPI

Nathan W Clem, DC

  • Chiropractor
  • Seattle, WA
National Provider Identifier
1205895737
Registry record updated Jun 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH00034381 Issued in WA
Practice address
1631 15TH Ave W
Ste 114
Seattle, WA 98119
Phone
(206) 283-7033
Fax
(206) 400-7652
NPI assigned
Mar 22, 2006
Last updated
Jun 8, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 8, 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 CH00034381 WA Primary

Addresses

Primary practice location

1631 15TH Ave W
Ste 114
Seattle, WA 98119

Mailing address

1631 15TH Ave W
Ste 114
Seattle, WA 98119-2792
Phone (425) 771-2225

Other practice location 1

20015 Hwy 99
Ste A
Lynnwood, WA 98036
Phone (425) 771-2225

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041118000667 WA Practitioner - Chiropractic 4981668936 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Collins Chiropractic PCGroup PAC ID 2860598067, 3 clinicians

Practice addresses (Care Compare)

619 SW 152ND St
Burien, WA 98166-2212
Phone (206) 242-0998

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH00034381WAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Collins Chiropractic, PC Chiropractor CurrentSince Apr 24, 2025 Accepting new patients

Locations

619 SW 152nd St
Burien, WA 98166
Phone (206) 242-0998

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1142985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559952000000",
    "number": "1205895737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1631 15TH AVE W",
            "address_2": "STE 114",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981192792",
            "telephone_number": "425-771-2225",
            "fax_number": "425-670-8121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1631 15TH AVE W",
            "address_2": "STE 114",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "98119",
            "telephone_number": "206-283-7033",
            "fax_number": "206-400-7652"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20015 Hwy 99",
            "address_2": "Ste A",
            "address_purpose": "LOCATION",
            "city": "Lynnwood",
            "state": "WA",
            "postal_code": "98036",
            "country_code": "US",
            "telephone_number": "425-771-2225",
            "fax_number": "425-670-8121",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLEM",
        "first_name": "NATHAN",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-22",
        "last_updated": "2019-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00034381",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jun 8, 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.