Active NPI
Kevin Raymond Bellows, DC
- Orthopedic Chiropractor
- Trumbull, CT
National Provider Identifier
1952412751
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Chiropractor
- License
- 000584
- Practice address
- 25 Lindeman Dr
Trumbull, CT 06611-4782 - Phone
- (203) 373-0315
- Fax
- (203) 373-0367
- NPI assigned
- Aug 31, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Chiropractor | 111NX0800X | 000584 | CT | Primary |
Addresses
Primary practice location
25 Lindeman Dr
Trumbull, CT 06611-4782
Mailing address
25 Lindeman Dr
Trumbull, CT 06611-4782
Phone (203) 373-0315
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20051101001177 | CT | Practitioner - Chiropractic | 7810914439 | Practice locations: Trumbull, CT |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
25 Lindeman Dr
Trumbull, CT 06611-4782
Phone (203) 373-0315
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000584 | CT | MD | Physical Therapy Assistant |
| 584 | CT | MD | Surgical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1952412751",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25 LINDEMAN DR",
"city": "TRUMBULL",
"state": "CT",
"postal_code": "066114782",
"telephone_number": "203-373-0315",
"fax_number": "203-373-0367"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25 LINDEMAN DR",
"city": "TRUMBULL",
"state": "CT",
"postal_code": "066114782",
"telephone_number": "203-373-0315",
"fax_number": "203-373-0367"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BELLOWS",
"first_name": "KEVIN",
"middle_name": "RAYMOND",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-31",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111NX0800X",
"taxonomy_group": "",
"desc": "Chiropractor, Orthopedic",
"state": "CT",
"license": "000584",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Trumbull, CT
Sources for this page
- 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.
- 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.