Active NPI
Kevin Grant Wexler, DC
- Chiropractor
- Wilmington, MA
National Provider Identifier
1336298637
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1580
- Practice address
- 668 Main St
Suite 6
Wilmington, MA 01887-3377 - Phone
- (978) 988-2225
- Fax
- (978) 988-0935
- NPI assigned
- Jan 9, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 1580 | MA | Primary |
Addresses
Primary practice location
668 Main St
Suite 6
Wilmington, MA 01887-3377
Mailing address
668 Main St
Suite 6
Wilmington, MA 01887-3377
Phone (978) 988-2225
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1612336 | Medicaid | MA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060424000544 | MA | Practitioner - Chiropractic | 7214947019 | Practice locations: Wilmington, MA |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Los Angeles College of Chiropractic, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
668 Main St
Suite 6
Wilmington, MA 01887-3377
Phone (978) 988-2225
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1580 | MA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168300800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1294617600000",
"number": "1336298637",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "668 MAIN ST",
"address_2": "SUITE 6",
"city": "WILMINGTON",
"state": "MA",
"postal_code": "018873377",
"telephone_number": "978-988-2225",
"fax_number": "978-988-0935"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "668 MAIN ST",
"address_2": "SUITE 6",
"city": "WILMINGTON",
"state": "MA",
"postal_code": "018873377",
"telephone_number": "978-988-2225",
"fax_number": "978-988-0935"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEXLER",
"first_name": "KEVIN",
"middle_name": "GRANT",
"name_prefix": "Mr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-09",
"last_updated": "2011-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MA",
"license": "1580",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1612336",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Wilmington, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2011; 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.