David Emil Bahm, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH00002143 Issued in WA

Practice address

2908 228TH Ave SE
Suite C
Sammamish, WA 98075-9306

Phone

(425) 391-4095

Fax

(425) 391-6059

NPI assigned

Sep 29, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - West Sunnyvale, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Pine Lake Chiropractic Clinic Inc

  • Chiropractor
  • Sammamish, WA
  • NPI 1225159940
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191801600000",
    "number": "1356433726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2908 228TH AVE SE",
            "address_2": "SUITE C",
            "city": "SAMMAMISH",
            "state": "WA",
            "postal_code": "980759306",
            "telephone_number": "425-391-4095",
            "fax_number": "425-391-6059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2908 228TH AVE SE",
            "address_2": "SUITE C",
            "city": "SAMMAMISH",
            "state": "WA",
            "postal_code": "980759306",
            "telephone_number": "425-391-4095",
            "fax_number": "425-391-6059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAHM",
        "first_name": "DAVID",
        "middle_name": "EMIL",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-29",
        "last_updated": "2007-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00002143",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLINIC NPI",
            "identifier": "1225159940",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER",
            "identifier": "BA 4012",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Sammamish, WA
• Providers in Sammamish, WA by specialty
• Chiropractor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2007; 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.