Active NPI
Mark Lockwood, DC
- Chiropractor
- Bellevue, WA
National Provider Identifier
1225021595
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH 0000 2783
- Practice address
- 12951 Bel Red Rd
Suite 120
Bellevue, WA 98005-2644 - Phone
- (425) 455-3636
- Fax
- (425) 455-2910
- NPI assigned
- Aug 23, 2005
- 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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CH 0000 2783 | WA | Primary |
Addresses
Primary practice location
12951 Bel Red Rd
Suite 120
Bellevue, WA 98005-2644
Mailing address
12951 Bel Red Rd
Suite 120
Bellevue, WA 98005-2628
Phone (425) 455-3636
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20061012000290 | WA | Practitioner - Chiropractic | 6103822275 | Practice locations: Bellevue, WA |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Cleveland Chiropractic College - Los Angeles, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
12951 Bel Red Rd
Suite 120
Bellevue, WA 98005-2628
Phone (425) 455-3636
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CH 0000 2783 | WA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124755200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1212105600000",
"number": "1225021595",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12951 BEL RED RD",
"address_2": "SUITE 120",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980052628",
"telephone_number": "425-455-3636",
"fax_number": "425-455-2910"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12951 BEL RED RD",
"address_2": "SUITE 120",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980052644",
"telephone_number": "425-455-3636",
"fax_number": "425-455-2910"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOCKWOOD",
"first_name": "MARK",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-08-23",
"last_updated": "2008-05-30",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WA",
"license": "CH 0000 2783",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bellevue, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2008; 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.