Randel Kevin Dewees, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

31221 Issued in AS

Practice address

3936 Industrial Park Way
Pago Pago, AS 96799

Phone

(684) 256-3942

NPI assigned

Nov 15, 2021

Last updated

Nov 15, 2021By the provider in NPPES

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1636934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636934400000",
    "number": "1508522491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3936",
            "city": "PAGO PAGO",
            "state": "AS",
            "postal_code": "967993936",
            "telephone_number": "684-258-4252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3936 INDUSTRIAL PARK WAY",
            "city": "PAGO PAGO",
            "state": "AS",
            "postal_code": "96799",
            "telephone_number": "684-256-3942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEWEES",
        "first_name": "RANDEL",
        "middle_name": "KEVIN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-11-15",
        "last_updated": "2021-11-15",
        "certification_date": "2021-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AS",
            "license": "31221",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://lbjtmc.org",
            "affiliation": "N",
            "endpointDescription": "Local Hospital",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "contentOtherDescription": "LBJ Tropical medical center",
            "address_1": "3936 Industrial Park Way",
            "city": "Pago Pago",
            "state": "AS",
            "country_code": "US",
            "postal_code": "96799",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Sharon Dakuitoga, MBBS
• Naomi Milay Dane, MD
• Concordio Jr Baldrez De Quiroz
• Department of Search and Rescue (Sar)
• Nestor Devesi, MBBS
• Petueli Emose, MBBS
• Empowering Pacific Island Communities
• Wynchrister Enriquez
• Rubie Anne Espinosa, MD
• Manuel F Fernandez, M.D.

• Chiropractor in Pago Pago, AS
• Providers in Pago Pago, AS by specialty
• Chiropractor in American Samoa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2021; 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.