PINE LAKE CHIROPRACTIC CLINIC INC
NPI 1225159940
Chiropractor in Sammamish, WA
About Pine Lake Chiropractic Clinic Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PINE LAKE CHIROPRACTIC CLINIC INC (NPI 1225159940) is a healthcare organization registered as a chiropractor in Sammamish, Washington and active in the NPI registry since April 2007. The organization lists David Emil Bahm, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Pine Lake Chiropractic Clinic Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by December 31, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Pine Lake Chiropractic Clinic Inc, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Pine Lake Chiropractic Clinic Inc's NPI number?
The NPI number for Pine Lake Chiropractic Clinic Inc is 1225159940. It was assigned to this organization in the NPPES registry on April 2, 2007.
Where is Pine Lake Chiropractic Clinic Inc located?
Pine Lake Chiropractic Clinic Inc is located at 2908 228th Ave SE Suite C, Sammamish, WA 98075. The listed phone number is (425) 391-4095.
What is Pine Lake Chiropractic Clinic Inc's specialty?
The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.
Is Pine Lake Chiropractic Clinic Inc enrolled in Medicare?
Yes. Pine Lake Chiropractic Clinic Inc is registered in the Medicare PECOS enrollment system.
When is Pine Lake Chiropractic Clinic Inc's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Washington, Clinic/Group Practice) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Pine Lake Chiropractic Clinic Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Pine Lake Chiropractic Clinic Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Pine Lake Chiropractic Clinic Inc accept?
Health plans from Premera Blue Cross Blue Shield of Alaska list Pine Lake Chiropractic Clinic Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Pine Lake Chiropractic Clinic Inc was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Pine Lake Chiropractic Clinic Inc · NPI 1225159940
Chiropractor organization in Sammamish, Washington. Organization record, active in the CMS NPPES registry since April 2, 2007.
## Identity
- **NPI:** 1225159940 (Entity type: Organization)
- **Enumerated:** April 2, 2007
- **Primary specialty:** Chiropractor · taxonomy 111N00000X
- **Organization subpart:** No
- **Authorized official:** David Bahm, PRESIDENT
## Practice location
- **Address:** 2908 228TH AVE SE, SUITE C, Sammamish, WA 98075-9306
- **Phone:** (425) 391-4095 · **Fax:** (425) 391-6059
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** December 31, 2026 (Non-DME Part B, Washington, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 1 clinician (Chiropractic) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 22, 2020
- **Other identifiers:** Other 0038178 (WA); Medicaid 2032670 (WA); Other 1356433726 (WA)
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Source: [NPI Profile](https://npiprofile.com/npi/1225159940) · Data from the CMS NPPES public registry.