KEVIN M SMALL (NPI# 1639239650) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639239650 |
| Entity Type | Individual |
| Full Name | KEVIN M SMALL |
| Credential | D.C. |
| Practice Address |
1033 Regents Blvd Ste 203 Fircrest WA 98466-6091 |
| Practice Telephone | 2535666121 |
| Practice Fax Number | 2535648118 |
| Mailing Telephone | 2535666121 |
| Mailing Fax Number | 2535648118 |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2014-09-30 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | CH00002248 | WA | Chiropractic Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891161139 | Kevin Wilson Small | Physical Therapy Assistant | 175 Blueberry Ln, Laconia, NH 03246-2918 | 2015-08-20 |
| 1043470834 | Kevin Howard Small | Plastic Surgery | 125 Mineola Ave, Ste 200, Roslyn Heights, NY 11577-2042 | 2008-06-15 |
| 1487778940 | Kevin Michael Small Sr. | Physical Therapy Assistant | 45 Forest Cv, Forest Cove Manor, Jackson, TN 38301-4366 | 2007-03-19 |
| 1689669715 | Kevin M Small | Radiology | 621 Memorial Dr Ste 312, South Bend, IN 46601-1073 | 2005-09-14 |
| Street Address |
1033 REGENTS BLVD STE 203 |
| City | FIRCREST |
| State | WA |
| Zip Code | 98466-6091 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568012730 | Small Family Chiropractic | Clinic/Center | 1033 Regents Blvd Ste 203, Fircrest, WA 98466-6091 | 2019-09-18 |
| 1427418672 | Sophia Christensen | Specialist | 1033 Regents Blvd Ste 203, Fircrest, WA 98466-6091 | 2016-03-01 |
| 1083769368 | Kenneth Wheelock | Chiropractor | 1033 Regents Blvd Ste 203, Fircrest, WA 98466-6091 | 2007-01-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306499215 | Julie Mccartney | Counselor | 7610 40th St W Ste 20, University Place, WA 98466 | 2019-07-19 |
| 1033682752 | Jms Corporate Services Group | In Home Supportive Care | 2621 70th Avenue West, Suite C, University Place, WA 98466 | 2019-01-04 |
| 1992270243 | Kathleen Marie Kulman | Massage Therapist | 4113 Bridgeport Avenue, Suite B, Tacoma, WA 98466 | 2018-10-12 |
| 1518441674 | Michala Lin Dymond-shaw | Speech-Language Pathologist | 3725 Grandview Dr W, University Place, WA 98466 | 2018-09-24 |
| 1770001133 | Micky Patrick Cates | Physician Assistant | 1924 70th Ave West, Apt E5, University Place, WA 98466 | 2017-09-06 |
| 1386160984 | Stephanie Herrala | Dentist | Okubo Dental Clinic 11582 C St, Jblm, WA 98466 | 2017-08-16 |
| 1033581640 | Jay Hyuck Sung | Dentist | 3670 Bridgeport Way W, Unit B, University Place, WA 98466 | 2015-10-22 |
| 1174951867 | Adrienne Holliday | Occupational Therapy Assistant | 3717 Grandview Drive W, University Place, WA 98466 | 2013-10-16 |
| 1598106650 | Maricris Pang Espino | Registered Nurse | 1541 Cottonwood Avenue, Fircrest, WA 98466 | 2013-07-17 |
| 1417393653 | Nurhan Karakas | Counselor | 9330 59th Ave Sw, Lakewood, WA 98466 | 2013-05-15 |
| Find all providers in zip 98466 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033755723 | Grit City Chiropractic, Pllc | Chiropractor | 1105 Regents Blvd Ste B, Fircrest, WA 98466-6094 | 2019-11-18 |
| 1831641489 | Dt Smith Healthgroup Pllc | Chiropractor | 6314 19th St W Ste 11, Fircrest, WA 98466-6223 | 2016-10-31 |
| 1174760201 | Wakeland Chiropractic Center Inc Ps | Chiropractor | 6412 20th Street Ct W, Fircrest, WA 98466-6227 | 2009-01-12 |
| 1568510972 | Jean Marie Scarzello Wakeland | Chiropractor | 6412 20th Street Court West, Fircrest, WA 98466-6227 | 2007-01-08 |
| 1801851852 | Edward L West | Chiropractor | 6314 19th St W, Suite 11, Fircrest, WA 98466-6223 | 2006-04-20 |
| 1861038556 | Mckenzie Lynne Hollyoak | Chiropractor | 1105 Regents Blvd Ste B, Fircrest, WA 98466-6094 | 2019-11-18 |
| 1285012500 | Pm Health Group Pllc | Chiropractor | 6314 19th St W, Suite # 11, Fircrest, WA 98466-6223 | 2015-05-07 |
| 1821496746 | Megan Sue Lindsey | Chiropractor | 305 Birch St, Fircrest, WA 98466 | 2014-12-09 |
| 1083769368 | Kenneth Wheelock | Chiropractor | 1033 Regents Blvd Ste 203, Fircrest, WA 98466-6091 | 2007-01-24 |
| 1912055328 | Robert Warren Wakeland | Chiropractor | 6412 20th Street Court West, Fircrest, WA 98466-6227 | 2007-01-08 |
| Find all providers in FIRCREST | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.