DR. KEVIN S WATT DC
NPI 1295865095
Chiropractor in Lodi, CA
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
Specialties & Licenses
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignment
Medicare enrollment records show Kevin Watt reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Lodi, CA 95240
- Reassigned Medicare billing, California enrollment
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
LODI, CA 95240
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.
Which organization bills Medicare for Kevin Watt's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kevin Watt reassigns Medicare benefits to Kevin S & Tina S Watt (Lodi, CA). The 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 Kevin Watt's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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.
# Dr. Kevin S Watt, DC · NPI 1295865095
Chiropractor provider in Lodi, California. Individual provider, active in the CMS NPPES registry since March 7, 2007.
## Identity
- **NPI:** 1295865095 (Entity type: Individual)
- **Enumerated:** March 7, 2007
- **Primary specialty:** Chiropractor · taxonomy 111N00000X
- **State license:** DC24027 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1110 W KETTLEMAN LN, #27, Lodi, CA 95240-6031
- **Phone:** (209) 334-2366 · **Fax:** (209) 334-2377
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** Kevin S & Tina S Watt (NPI 1851775381, Lodi, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Life Chiropractic College, class of 1994
## Record status
- **NPPES last updated:** December 3, 2014
- **Other identifiers:** Medicare ID-Type Unspecified U62788 (CA)
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Source: [NPI Profile](https://npiprofile.com/npi/1295865095) · Data from the CMS NPPES public registry.