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KMGO ENTERPRISES PLLC
NPI 1023828266
Chiropractor in Fayetteville, AR

Active since January 09, 2025
1271 STEAMBOAT DR., SUITE 1, FAYETTEVILLE, AR 72704(479) 435-6834(509) 694-8932 Get Directions Write a Review

NPPES record last updated: January 9, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Kmgo Enterprises Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KMGO ENTERPRISES PLLC (NPI 1023828266), doing business as The Wellness Center Chiropractic, is a healthcare organization registered as a chiropractor in Fayetteville, Arkansas and active in the NPI registry since January 2025. The organization lists Kevin Waterloo, President / Owner, as its authorized official.

NPPES Registry Identity

NPI1023828266
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameKMGO ENTERPRISES PLLC
Location Address1271 STEAMBOAT DR., SUITE 1Fayetteville, AR 72704
Mailing Address1271 Steamboat Dr., Suite 1Fayetteville, AR 72704 · (479) 435-6834 · Fax (509) 694-8932
Phone(479) 435-6834
Fax(509) 694-8932
Organization SubpartNo
Authorized OfficialKevin WaterlooPresident / Owner · (479) 435-6834
Enumeration DateJanuary 9, 2025
NPPES CertifiedJanuary 9, 2025
✔ NPI 1023828266 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
Definition
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.
1271 STEAMBOAT DR., Fayetteville, AR 72704
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Other Names 1

Doing Business AsThe Wellness Center Chiropractic

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kmgo Enterprises Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Kmgo Enterprises PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Kevin Waterloo, DC
Chiropractic
NPI 1720486699
2317 E MATTHEWS AVE
Jonesboro, AR 72401
(870) 520-6351
✔ Accepts Medicare199 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kmgo Enterprises PLLC's NPI number?

The NPI number for Kmgo Enterprises PLLC is 1023828266. It was assigned to this organization in the NPPES registry on January 9, 2025. The provider is doing business as The Wellness Center Chiropractic.

Where is Kmgo Enterprises PLLC located?

Kmgo Enterprises PLLC is located at 1271 Steamboat Dr. Suite 1, Fayetteville, AR 72704. The listed phone number is (479) 435-6834.

What is Kmgo Enterprises PLLC's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Kmgo Enterprises PLLC enrolled in Medicare?

Yes. Kmgo Enterprises PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Kmgo Enterprises PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Kmgo Enterprises PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Kmgo Enterprises PLLC was last updated on January 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.