NPIMap

Organization Active NPI

E Group Wa LLC

Doing business as Lembke Chiropractic Clinic

  • Chiropractor
  • Vancouver, WA
National Provider Identifier
1285266080
Registry record updated Feb 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
E GROUP WA LLC
Doing business as
Lembke Chiropractic Clinic
Pacific Northwest Chiropractic
Practice address
11015 NE Fourth Plain Blvd Ste B
Vancouver, WA 98662-6314
Phone
(360) 892-0451
Fax
(360) 892-1601
NPI assigned
Feb 10, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2020

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

Authorized official

Name
Dr. Erik Leavitt, DCNPI 1538623962
Title
Owner
Phone
(360) 892-1601

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

11015 NE Fourth Plain Blvd Ste B
Vancouver, WA 98662-6314

Mailing address

11015 NE Fourth Plain Blvd Ste B
Vancouver, WA 98662-6314
Phone (360) 892-0451

Other names 2

  • Lembke Chiropractic Clinic Doing business as
  • Pacific Northwest Chiropractic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200901001205 WA Part B Supplier - Clinic/Group Practice 2961829213 Receives reassigned benefits from 2 practitioners
Practice locations: Vancouver, WA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1581292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581292800000",
    "number": "1285266080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11015 NE FOURTH PLAIN BLVD STE B",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986626314",
            "telephone_number": "360-892-0451",
            "fax_number": "360-892-1601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11015 NE FOURTH PLAIN BLVD STE B",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986626314",
            "telephone_number": "360-892-0451",
            "fax_number": "360-892-1601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "E GROUP WA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-10",
        "last_updated": "2020-02-10",
        "certification_date": "2020-02-10",
        "status": "A",
        "authorized_official_last_name": "LEAVITT",
        "authorized_official_first_name": "ERIK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-892-1601",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lembke Chiropractic Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Pacific Northwest Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Vancouver, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.