Individual provider Active NPI

Mark Khai Lam, D.C.

  • Chiropractor
  • Tumwater, WA
National Provider Identifier
1548569429
Registry record updated Mar 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
60209984 Issued in WA
Practice address
1518 Bishop Rd SW
Tumwater, WA 98512-7354
Phone
(360) 923-5588
Fax
(360) 915-9815
NPI assigned
Mar 18, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 60209984 WA Primary

Addresses

Primary practice location

1518 Bishop Rd SW
Tumwater, WA 98512-7354

Mailing address

1518 Bishop Rd SW
Tumwater, WA 98512-7354
Phone (360) 923-5588

Other names 1

  • Dr. Khai Lam Professional name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110401000056 WA Practitioner - Chiropractic 2062695836

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2011
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1518 Bishop Rd SW
Tumwater, WA 98512-7354

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
60209984WAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Anthony Rodriguez DC PLLC Chiropractor CurrentSince Aug 7, 2019 Accepting new patients
Khai Lam DC Chiropractor CurrentSince Apr 20, 2025 Accepting new patients

Locations

6307 Rich Rd SE
Olympia, WA 98501
Phone (360) 349-8606

1518 Bishop Rd SW
Tumwater, WA 98512
Phone (360) 823-5588

1518 Bishop Rd SW
Ste 11
Tumwater, WA 98512

Organizations & group practices 2

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": "1300406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300406400000",
    "number": "1548569429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1518 BISHOP RD SW",
            "city": "TUMWATER",
            "state": "WA",
            "postal_code": "985127354",
            "telephone_number": "360-923-5588",
            "fax_number": "360-915-9815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1518 BISHOP RD SW",
            "city": "TUMWATER",
            "state": "WA",
            "postal_code": "985127354",
            "telephone_number": "360-923-5588",
            "fax_number": "360-915-9815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAM",
        "first_name": "MARK",
        "middle_name": "KHAI",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-03-18",
        "last_updated": "2011-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "60209984",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KHAI",
            "last_name": "LAM",
            "prefix": "DR.",
            "credential": "D.C.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Tumwater, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2011; 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.