Individual provider Active NPI

Tarm Leamphan, DC

  • Chiropractor
  • Seattle, WA
National Provider Identifier
1467277335
Registry record updated Nov 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH61595402 Issued in WA
Practice address
771 Thomas St
Seattle, WA 98109-5131
Phone
(817) 304-4738
NPI assigned
Nov 18, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH61595402 WA Primary

Addresses

Primary practice location

771 Thomas St
Seattle, WA 98109-5131

Mailing address

771 Thomas St
Seattle, WA 98109-5131
Phone (817) 304-4738

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250307001781 WA Practitioner - Chiropractic 2466973359

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

771 Thomas St
Seattle, WA 98109-5131

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH61595402WAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Rooted Chiropractic and Rehab PLLC CurrentSince Jan 27, 2025 Accepting new patients

Locations

771 Thomas St
Seattle, WA 98109
Phone (817) 304-4738

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1731888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731888000000",
    "number": "1467277335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "771 THOMAS ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981095131",
            "telephone_number": "817-304-4738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "771 THOMAS ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981095131",
            "telephone_number": "817-304-4738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEAMPHAN",
        "first_name": "TARM",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-11-18",
        "last_updated": "2024-11-18",
        "certification_date": "2024-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH61595402",
            "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 Nov 18, 2024; 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.