Kevin L Stewart, D.C

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

23381 Issued in CA

Practice address

400 E Kettleman LN Ste 21
Lodi, CA 95240-5956

Phone

(209) 368-0619

Fax

(209) 368-3339

NPI assigned

Nov 1, 2006

Last updated

Aug 4, 2022By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - West Sunnyvale, 1993

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Lodi Advanced Medical Center PC

  • Nurse Practitioner
  • Lodi, CA
  • NPI 1285361188

  Chiropractor

  Medicare reassignment NPD Authorized official
• Stewart Chiropractic Corp

  • Chiropractor
  • Lodi, CA
  • NPI 1497814511
  Medicare reassignment NPD

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659571200000",
    "number": "1538246186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 E KETTLEMAN LN STE 21",
            "city": "LODI",
            "state": "CA",
            "postal_code": "952405956",
            "telephone_number": "209-368-0619",
            "fax_number": "209-368-3339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 E KETTLEMAN LN STE 21",
            "city": "LODI",
            "state": "CA",
            "postal_code": "952405956",
            "telephone_number": "209-368-0619",
            "fax_number": "209-368-3339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEWART",
        "first_name": "KEVIN",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "D.C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2022-08-04",
        "certification_date": "2022-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "23381",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Betty Ann Stanhope
• Stanislaus County
• Stephen Cheung DDS
• Michelle Stevahn
• Stewart Chiropractic Corp
• Shanae Stiles, AA PSYCHOLOGY
• Janus Marie Stock, RN
• Stockton Primary Care
• Stockton Sports Physical Therapy
• Treva Sue Strain, LCSW

• Chiropractor in Lodi, CA
• Providers in Lodi, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2022; 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.