Kevin Richard Pett, PHD, DAOM

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC01101 Issued in OR

Practice address

39 NW Louisanna Ave.
Hawthorn Healing Arts Center
Bend, OR 97701

Phone

(541) 330-0334

NPI assigned

Jun 27, 2016

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• Kevin R. Pett PHD

  • Acupuncturist
  • Bend, OR
  • NPI 1508213893
  NPD (past) Authorized official

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

{
    "created_epoch": "1466985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476835200000",
    "number": "1144671520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3062 NW KELLY HILL CT",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977037023",
            "telephone_number": "703-587-1244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 NW LOUISANNA AVE.",
            "address_2": "HAWTHORN HEALING ARTS CENTER",
            "city": "BEND",
            "state": "OR",
            "postal_code": "97701",
            "telephone_number": "541-330-0334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETT",
        "first_name": "KEVIN",
        "middle_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "PHD, DAOM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-06-27",
        "last_updated": "2016-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "OR",
            "license": "AC01101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Theresa Ann Peterson
• Carol J Petherbridge, ND
• Nickolas Petragallo, CRM/PSS
• Jacqueline Petrovic
• Sheyanne L Petrovich, LCSW
• Lorri M Petterson, RN
• Jade Alyxandra Pettit, RN
• Claire Petzinger, PA-C
• Pfeifer & Associates
• Sally L Pfeifer, CACD I

• Acupuncturist in Bend, OR
• Providers in Bend, OR by specialty
• Acupuncturist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.