Individual provider Active NPI

Kevin Arthur Wilmot, D.C.

  • Chiropractor
  • Kalispell, MT
National Provider Identifier
1205910726
Registry record updated Feb 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
977 Issued in MT
Practice address
1066 N Meridian Rd
Suite a
Kalispell, MT 59901-3542
Phone
(406) 755-1955
Fax
(406) 755-1911
NPI assigned
Oct 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 977 MT Primary

Addresses

Primary practice location

1066 N Meridian Rd
Suite a
Kalispell, MT 59901-3542

Mailing address

1066 N Meridian Rd
Suite a
Kalispell, MT 59901-3542
Phone (406) 755-1955

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101028000201 MT Practitioner - Chiropractic 7214092634 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 2000
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1066 N Meridian Rd
Suite a
Kalispell, MT 59901-3542
Phone (406) 755-1955

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
977MTMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Northern Lights Chiropractic, Inc. Chiropractor CurrentSince Sep 1, 2003 Accepting new patients

Locations

1340 Airport Rd
Kalispell, MT 59901
Phone (406) 755-1955

1066 N Meridian Rd
Unit A
Kalispell, MT 59901
Phone (406) 755-1955

Organizations & group practices 1

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": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1235692800000",
    "number": "1205910726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1066 N MERIDIAN RD",
            "address_2": "SUITE A",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599013542",
            "telephone_number": "406-755-1955",
            "fax_number": "406-755-1911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1066 N MERIDIAN RD",
            "address_2": "SUITE A",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599013542",
            "telephone_number": "406-755-1955",
            "fax_number": "406-755-1911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILMOT",
        "first_name": "KEVIN",
        "middle_name": "ARTHUR",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-24",
        "last_updated": "2009-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MT",
            "license": "977",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kalispell, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2009; 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.