Individual provider Active NPI

Kevin Wayne Wilkins, DC

  • Chiropractor
  • Glen Mills, PA
National Provider Identifier
1982995080
Registry record updated Apr 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC010347 Issued in PA
Practice address
1786 Wilmington Pike Ste 101B
Glen Mills, PA 19342-8172
Phone
(610) 361-9531
Fax
(610) 361-9407
NPI assigned
Apr 22, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X F1-0000815 DE
Chiropractor 111N00000X DC010347 PA Primary

Addresses

Primary practice location

1786 Wilmington Pike Ste 101B
Glen Mills, PA 19342-8172

Mailing address

1786 Wilmington Pike Ste 101B
Glen Mills, PA 19342-8172
Phone (610) 361-9531

Other practice location 1

1536 Kirkwood Hwy
Newark, DE 19711-5716
Phone (302) 454-1200

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210421000306 PA Practitioner - Chiropractic 2961671466 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1786 Wilmington Pike
Suite 101B
Glen Mills, PA 19342-8172
Phone (610) 361-9531

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
F1-0000815DEMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Wilkins Chiropractic Chiropractor CurrentSince Apr 20, 2021 Accepting new patients
Wilkins Family Chiropractic LLC Chiropractor CurrentSince Apr 18, 2021 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1303430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618185600000",
    "number": "1982995080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1786 WILMINGTON PIKE STE 101B",
            "city": "GLEN MILLS",
            "state": "PA",
            "postal_code": "193428172",
            "telephone_number": "610-361-9531",
            "fax_number": "610-361-9407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1786 WILMINGTON PIKE STE 101B",
            "city": "GLEN MILLS",
            "state": "PA",
            "postal_code": "193428172",
            "telephone_number": "610-361-9531",
            "fax_number": "610-361-9407"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1536 Kirkwood Hwy",
            "address_purpose": "LOCATION",
            "city": "Newark",
            "state": "DE",
            "postal_code": "197115716",
            "country_code": "US",
            "telephone_number": "302-454-1200",
            "fax_number": "302-454-1238",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILKINS",
        "first_name": "KEVIN",
        "middle_name": "WAYNE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-04-22",
        "last_updated": "2021-04-12",
        "certification_date": "2021-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "DE",
            "license": "F1-0000815",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC010347",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Mills, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2021; 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.