Kevin J McDermott, DC

Primary specialty

Rehabilitation ChiropractorTaxonomy code 111NR0400X

License

F1-0000451 Issued in DE

Practice address

12 Fox Hunt Dr
Bear, DE 19701-2534

Phone

(302) 836-6150

Fax

(302) 836-6294

NPI assigned

Jan 11, 2007

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 DE

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

ChiropracticAlso: Physical Medicine and Rehabilitation

Education

Life Chiropractic College - West, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

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 and National Provider Directory roles.

• First State Physicians, LLC

  • Rehabilitation Chiropractor
  • Bear, DE
  • NPI 1407281280
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485216000000",
    "number": "1730239609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "560 HEMINGWAY DR",
            "city": "HOCKESSIN",
            "state": "DE",
            "postal_code": "197071109",
            "telephone_number": "302-234-1454",
            "fax_number": "302-836-6294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 FOX HUNT DR",
            "city": "BEAR",
            "state": "DE",
            "postal_code": "197012534",
            "telephone_number": "302-836-6150",
            "fax_number": "302-836-6294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDERMOTT",
        "first_name": "KEVIN",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-11",
        "last_updated": "2017-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "DE",
            "license": "F1-0000451",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gabrielle N May
• MBS Psychotherapy Services, LLC
• Stephanie McCann
• Erin McCarney, M.A. CCC-SLP
• Catherine McCoubrey
• Julie McGinnis
• Alison McGonegal, PTA
• Megan C McKee
• John J McKenna III, R.PH.
• Lisa A McMahon, FNP-BC

• Rehabilitation Chiropractor in Bear, DE
• Providers in Bear, DE by specialty
• Rehabilitation Chiropractor in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.