Kenneth Randall McEvers, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2475 Issued in OR

Practice address

2941NW Hwy 101
Ste a
Lincoln City, OR 97367

Phone

(541) 996-8745

Fax

(541) 996-8744

NPI assigned

Nov 14, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Specialty

Chiropractic

Education

Western States College of Chiropractic, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Eastside Allergy Asthma & General Internal Medicine PC

  • Allergy Physician
  • Gresham, OR
  • NPI 1922304302
  NPD (past)
• Renovo Chiropractic LLC

  • Clinic/Center
  • Lincoln City, OR
  • NPI 1710442751
  NPD (past)

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1336211515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "BOX 883",
            "city": "LINCOLN CITY",
            "state": "OR",
            "postal_code": "97367",
            "telephone_number": "541-996-8745",
            "fax_number": "541-996-8744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2941NW HWY 101",
            "address_2": "STE A",
            "city": "LINCOLN CITY",
            "state": "OR",
            "postal_code": "97367",
            "telephone_number": "541-996-8745",
            "fax_number": "541-996-8744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCEVERS",
        "first_name": "KENNETH",
        "middle_name": "RANDALL",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "2475",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "132568",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nina Louise Mattarella, MD
• Robin Mays, RPH
• Brenda McAllister, RN
• Christine Lynn McCambridge, PMHNP-BC
• Jeffrey H McDonald, MD
• Jacob Lane Merritt, MA
• Marty Michelson, LPC
• Dean W Mickelson, RPH
• John G Mickelson, DO
• Nicholas Miller, DPT

• Chiropractor in Lincoln City, OR
• Providers in Lincoln City, OR by specialty
• Chiropractor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.