Active NPI
Mark Khai Lam, D.C.
- Chiropractor
- Tumwater, WA
National Provider Identifier
1548569429
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 60209984
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 60209984 | WA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anthony Rodriguez DC PLLC | Chiropractor | Current | Accepting new patients |
| Khai Lam DC | Chiropractor | Current | 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.