Kent Lydell Belville, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1928-012 Issued in WI

Practice address

440 N. Koeller St.
Oshkosh, WI 54903-2525

Phone

(920) 233-2828

Fax

(920) 232-2829

NPI assigned

Jul 13, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Belville and Associates Chiropractic Clinic SCGroup PAC ID 8325295538, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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 and National Provider Directory roles.

• Belville & Associates Chiropractic Clinic SC

  • Chiropractor
  • Oshkosh, WI
  • NPI 1215298310
  Medicare reassignment Care Compare group NPD Authorized official
• Belville Fletcher Chiropractic Office SC

  • Chiropractor
  • Oshkosh, WI
  • NPI 1982829735
  NPD Authorized official

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490832000000",
    "number": "1700801446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 N KOELLER ST",
            "address_2": "440 N. KOELLER ST.",
            "city": "OSHKOSH",
            "state": "WI",
            "postal_code": "549024111",
            "telephone_number": "920-230-2525",
            "fax_number": "920-273-2347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 N. KOELLER ST.",
            "city": "OSHKOSH",
            "state": "WI",
            "postal_code": "549032525",
            "telephone_number": "920-233-2828",
            "fax_number": "920-232-2829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELVILLE",
        "first_name": "KENT",
        "middle_name": "LYDELL",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-13",
        "last_updated": "2017-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "1928-012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38794200",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bella Vista Senior Care LLC
• Jacqueline Graber Belter, D.D.S.
• Belville & Associates Chiropractic Clinic SC
• Belville Fletcher Chiropractic Office SC
• Joshua Andrew Belville, D.C.
• Nicholas Morris Belville, DC
• Benjamin G Benesh, PT
• Lacey A Benike
• John Andrew Bennett, DO
• Mary Kay Benotsch, RN

• Chiropractor in Oshkosh, WI
• Providers in Oshkosh, WI by specialty
• Chiropractor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2017; 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.