Individual provider Active NPI

Kent Winston Drever, DC

  • Chiropractor
  • Laguna Hills, CA
National Provider Identifier
1386374361
Registry record updated Jun 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
36364 Issued in CA
Practice address
25431 Cabot Rd Ste 205
Laguna Hills, CA 92653-5527
Phone
(949) 581-5231
NPI assigned
Jun 13, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 36364 CA Primary

Addresses

Primary practice location

25431 Cabot Rd Ste 205
Laguna Hills, CA 92653-5527

Mailing address

25431 Cabot Rd Ste 205
Laguna Hills, CA 92653-5527
Phone (949) 581-5231

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
36364CAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Vitalistic Healing Arts Center Inc. Chiropractor PastSince Jun 21, 2022 Accepting new patients

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": "1655078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655078400000",
    "number": "1386374361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25431 CABOT RD STE 205",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926535527",
            "telephone_number": "949-581-5231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25431 CABOT RD STE 205",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926535527",
            "telephone_number": "949-581-5231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DREVER",
        "first_name": "KENT",
        "middle_name": "WINSTON",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-06-13",
        "last_updated": "2022-06-13",
        "certification_date": "2022-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "36364",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laguna Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2022; 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.