Kevin Jay Pelton, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC332 Issued in RI

Practice address

730 Kingstown Rd Ste 3
Wakefield, RI 02879-3002

Phone

(401) 782-8380

Fax

(401) 782-3650

NPI assigned

Oct 19, 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 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1831271907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "730 KINGSTOWN RD STE 3",
            "city": "WAKEFIELD",
            "state": "RI",
            "postal_code": "028793002",
            "telephone_number": "401-782-8380",
            "fax_number": "401-782-3650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 KINGSTOWN RD STE 3",
            "city": "WAKEFIELD",
            "state": "RI",
            "postal_code": "028793002",
            "telephone_number": "401-782-8380",
            "fax_number": "401-782-3650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PELTON",
        "first_name": "KEVIN",
        "middle_name": "JAY",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "RI",
            "license": "DC332",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHC",
            "identifier": "44-00023",
            "state": "RI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000332",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD RI",
            "identifier": "9145-5",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Vimal S. Patel
• Sean T. Patrick, DDS
• Tyler Pearson
• Pelton Family Chiropractic Center, Inc.
• Christine Lynn Pelton, D.C.
• Kristin Pepe, OTR/L
• Colleen Marie Perlak-Soto, FNP-C
• Perspectives Corporation
• Perspectives Corporation
• Perspectives Corporation

• Chiropractor in Wakefield, RI
• Providers in Wakefield, RI by specialty
• Chiropractor in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.