Kevin D Hamilton, DC

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

License

AO5394 Issued in IA

Practice address

2028 E. 38TH St.
Suite 2
Davenport, IA 52807-1807

Phone

(563) 344-6060

Fax

(563) 344-6061

NPI assigned

May 17, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Kevin Hamilton Professional name

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

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.

• Kevin Hamilton DC-PC

  • Chiropractor
  • Davenport, IA
  • NPI 1912299355
  Medicare reassignment NPD Authorized official
• Kevin D. Hamilton, DC

  • Chiropractor
  • Davenport, IA
  • NPI 1699910059
  NPD (past) Authorized official

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524700800000",
    "number": "1831141522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2028 E. 38TH ST.",
            "address_2": "SUITE 2",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528071807",
            "telephone_number": "563-344-6060",
            "fax_number": "563-344-6061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2028 E. 38TH ST.",
            "address_2": "SUITE 2",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528071807",
            "telephone_number": "563-344-6060",
            "fax_number": "563-344-6061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMILTON",
        "first_name": "KEVIN",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-17",
        "last_updated": "2018-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "A05394",
            "primary": false
        },
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "IA",
            "license": "AO5394",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "05686",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0747485",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KEVIN",
            "last_name": "HAMILTON",
            "credential": "DC-PC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Kyle Halveland
• Ghada Hamdan-Allen, MD
• Jesse Hamerlinck, BA
• Melissa Hamerlinck, MS/CCC/A
• Courtney Hamilton
• Taryn Joelle Hancock, LISW
• Handicapped Development Center
• Handicapped Development Center
• Handicapped Development Center
• Handicapped Development Center

• Sports Physician Chiropractor in Davenport, IA
• Providers in Davenport, IA by specialty
• Sports Physician Chiropractor in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.