Individual provider Active NPI

Kevin John Cressey, D.C.

  • Chiropractor
  • Pasadena, CA
National Provider Identifier
1114231180
Registry record updated Aug 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
31703 Issued in CA
Practice address
131 N El Molino Ave
Suite 180
Pasadena, CA 91101-1873
Phone
(626) 792-1221
NPI assigned
Aug 3, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 3, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 31703 CA Primary

Addresses

Primary practice location

131 N El Molino Ave
Suite 180
Pasadena, CA 91101-1873

Mailing address

131 N El Molino Ave
Suite 180
Pasadena, CA 91101-1873
Phone (626) 792-1221

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160812001074 CA Practitioner - Chiropractic 7618260324 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Cleveland Chiropractic College - Los Angeles, 2010
Medicare assignment
May accept Medicare assignment
Group practices
Smith Chiropractic Clinic IncGroup PAC ID 5294028999, 3 clinicians

Practice addresses (Care Compare)

131 N El Molino Ave
Suite 180
Pasadena, CA 91101-5601
Phone (626) 792-1221

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
31703CAMDDental Hygienist

Practice roles

OrganizationSpecialtyStatusNew patients
Smith Chiropractic Chiropractor PastSince Jun 5, 2016 Accepting new patients

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": "1280793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280793600000",
    "number": "1114231180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 N EL MOLINO AVE",
            "address_2": "SUITE 180",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911011873",
            "telephone_number": "626-792-1221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 N EL MOLINO AVE",
            "address_2": "SUITE 180",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911011873",
            "telephone_number": "626-792-1221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRESSEY",
        "first_name": "KEVIN",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-08-03",
        "last_updated": "2010-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "31703",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2010; 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.