DR. KEVIN S WATT DC
NPI 1295865095
Chiropractor in Lodi, CA

Active since March 07, 2007Accepts Medicare Assignment
1110 W KETTLEMAN LN, #27, LODI, CA 95240(209) 334-2366(209) 334-2377 Get Directions Write a Review

NPPES record last updated: December 3, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Kevin S Watt Dc NPPES

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

DR. KEVIN S WATT DC (NPI 1295865095) is an individual chiropractor in Lodi, California, licensed in California (DC24027) and active in the NPI registry since March 2007. He is a graduate of Life Chiropractic College (1994).

NPPES Registry Identity

NPI1295865095
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. KEVIN S WATTCredential: DC
Location Address1110 W KETTLEMAN LN, #27Lodi, CA 95240-6031
Mailing Address1110 W Kettleman Ln, #27Lodi, CA 95240-6031 · (209) 334-2366 · Fax (209) 334-2377
Fax(209) 334-2377
Sole ProprietorYes
Medical School CMSLife Chiropractic CollegeGraduated 1994
Enumeration DateMarch 7, 2007
Last NPPES UpdateDecember 3, 2014
NPI 1295865095 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License Licensed in CA · DC24027
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.
1110 W KETTLEMAN LN, Lodi, CA 95240

Other Identifiers 1

Medicare ID-Type UnspecifiedU62788CA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Kevin S Watt Dc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9234270505
PECOS Enrollment IDI20100108000314

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Chiropractic manipulative treatment, 1-2 spinal regions 98940
Chiropractic manipulative treatment focuses on adjusting your spine to improve your body's physical function. In this service, a chiropractor applies controlled force to 1-2 spinal regions. This helps to restore mobility and alleviate discomfort in those areas.
265 services23 patients

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Marriage & Family Therapist
1110 W KETTLEMAN LN, SUITE 34-5
LODI, CA 95240
Dentist (General Practice)
1110 W KETTLEMAN LN, SUITE 47
LODI, CA 95240
Dentist (General Practice)
1110 W KETTLEMAN LN, SUITE 47
LODI, CA 95240
Dentist (General Practice)
1110 W KETTLEMAN LN, STE 47
LODI, CA 95240
Physical Therapist
1110 W KETTLEMAN LN, SUITE 13
LODI, CA 95240
Clinic/Center (Physical Therapy)
1110 W KETTLEMAN LN, SUITE 13
LODI, CA 95240
Chiropractor
1110 W KETTLEMAN LN, 27
LODI, CA 95240

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 Kevin Watt's NPI number?

The NPI number for Kevin Watt is 1295865095. It was assigned to this individual provider in the NPPES registry on March 7, 2007.

Where is Kevin Watt located?

Kevin Watt practices at 1110 W Kettleman Ln #27, Lodi, CA 95240. The listed phone number is (209) 334-2366.

What is Kevin Watt's specialty?

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

Is Kevin Watt enrolled in Medicare?

Yes. Kevin Watt is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Kevin Watt was last updated on December 3, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years 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.