Kenneth Alexander Delu, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC19755 Issued in CA

Practice address

1420 W Kettleman LN
B3
Lodi, CA 95242-4557

Phone

(209) 333-8690

Fax

(209) 333-8692

NPI assigned

Oct 19, 2005

Last updated

Jan 13, 2011By 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

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Chiropractic

Education

Los Angeles College of Chiropractic, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Delu Chiropractic

  • Chiropractor
  • Lodi, CA
  • NPI 1023408036
  NPD (past) Authorized official

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

{
    "created_epoch": "1129680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294876800000",
    "number": "1659360907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1420 W KETTLEMAN LN",
            "address_2": "B3",
            "city": "LODI",
            "state": "CA",
            "postal_code": "952424557",
            "telephone_number": "209-333-8690",
            "fax_number": "209-333-8692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 W KETTLEMAN LN",
            "address_2": "B3",
            "city": "LODI",
            "state": "CA",
            "postal_code": "952424557",
            "telephone_number": "209-333-8690",
            "fax_number": "209-333-8692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELU",
        "first_name": "KENNETH",
        "middle_name": "ALEXANDER",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-19",
        "last_updated": "2011-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC19755",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Delta Radiology, Inc.
• Delta Radiology, Inc.
• Delta Radiology, Inc.
• Delta Skilled Nursing Center, Inc. (Delta Rehabilitation & Care Center)
• Delu Chiropractic
• Stanley Lawrence Demski III, DDS
• Josie Christine Denton
• Narinder Singh Dhaliwal, M.D.
• Inderpreet Singh Dhillon, M.D
• Diagnostic Pathology Medical Group Inc

• 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 Jan 13, 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.

Verify at the official NPI Registry.