Eastlake Chiropractic Center P S

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

License

2489 Issued in WA

Legal business name

EASTLAKE CHIROPRACTIC CENTER P S

Practice address

2946 Eastlake Ave E
Seattle, WA 98102-3010

Phone

(206) 324-8600

Fax

(206) 322-8520

NPI assigned

Feb 28, 2007

Last updated

Oct 14, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Lincoln Kamell, D.C.NPI 1164457123

Title

Owner

Phone

(206) 324-8600

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lincoln Kamell, D.C.

  • Sports Physician Chiropractor
  • Seattle, WA
  • NPI 1164457123
  Medicare reassignment Authorized official
• Arash Fatemi, DC

  • Chiropractor
  • Vancouver, WA
  • NPI 1386146140
  Medicare reassignment NPD
• Jorge Ivan Sanchez, CHIROPRACTOR

  • Chiropractor
  • Olympia, WA
  • NPI 1912549403
  Medicare reassignment NPD
• Calvin Gene Mulanax, D.C.

  • Sports Physician Chiropractor
  • Shoreline, WA
  • NPI 1518035534
  Medicare reassignment

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728864000000",
    "number": "1457489833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 NW 50TH ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981073419",
            "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": {
        "organization_name": "EASTLAKE CHIROPRACTIC CENTER P S",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-28",
        "last_updated": "2024-10-14",
        "certification_date": "2024-10-14",
        "status": "A",
        "authorized_official_last_name": "KAMELL",
        "authorized_official_first_name": "LINCOLN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "206-324-8600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "WA",
            "license": "2489",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicholas Joel Easterday, LMT
• Corinne Easterling, PHARMD
• Elizabeth Cook Easterling
• Eastern Asian Medicine P.S. LLC
• Easterns Pharmacy LLC (Easterns Pharmacy)
• Andrew Leslie Eastman, MD
• Laura Christine Eastman, ND
• Robin Rachel Eastman, MSW, MBA
• Victoria Eastman
• McKenna Claire Eastment

• Sports Physician Chiropractor in Seattle, WA
• Providers in Seattle, WA by specialty
• Sports Physician Chiropractor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2024; 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.