Individual provider Active NPI

Kevin Cattie Jr., DC

  • Chiropractor
  • Wilmington, DE
National Provider Identifier
1740764984
Registry record updated Dec 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
F1-0000975 Issued in DE
Practice address
503 N Tatnall St
Wilmington, DE 19801-2232
Phone
(302) 658-5232
Fax
(302) 658-5037
NPI assigned
Sep 24, 2018
Last updated
Dec 27, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC011382 PA
Chiropractor 111N00000X F1-0000975 DE Primary

Addresses

Primary practice location

503 N Tatnall St
Wilmington, DE 19801-2232

Mailing address

503 N Tatnall St
Wilmington, DE 19801-2232
Phone (302) 658-5232

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181101001961 DE Practitioner - Chiropractic 3173876562 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Delaware SpineGroup PAC ID 2668801994, 3 clinicians

Practice addresses (Care Compare)

503 N Tatnall St
Wilmington, DE 19801-2232
Phone (302) 658-5232

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
F1-0000975DEMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Delaware Spine Chiropractor CurrentSince Jan 1, 2020 Accepting new patients

Locations

1117 N Franklin St
Ste A
Wilmington, DE 19806
Phone (302) 658-5232

503 N Tatnall St
Wilmington, DE 19801
Phone (302) 658-5232

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1537747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735257600000",
    "number": "1740764984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "503 N TATNALL ST",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198012232",
            "telephone_number": "302-658-5232",
            "fax_number": "302-658-5037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "503 N TATNALL ST",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198012232",
            "telephone_number": "302-658-5232",
            "fax_number": "302-658-5037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CATTIE",
        "first_name": "KEVIN",
        "name_suffix": "Jr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-09-24",
        "last_updated": "2024-12-27",
        "certification_date": "2024-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC011382",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "DE",
            "license": "F1-0000975",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2024; 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.