DR. KEVIN WATERLOO DC
NPI 1720486699
Chiropractor in Jonesboro, AR

Q: What is Kevin Waterloo's NPI number?

The NPI number for Kevin Waterloo is 1720486699. It was assigned to this individual provider in the NPPES registry on December 9, 2014.

Q: What is Kevin Waterloo's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kevin Waterloo was last updated on October 23, 2024. 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.

Active since December 09, 2014Accepts Medicare Assignment

2317 E MATTHEWS AVE, JONESBORO, AR 72401(870) 520-6351(870) 520-6353 Get Directions Write a Review

NPPES record last updated: October 23, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 17, 2024, Oct 1, 2021 (2 updates tracked since 2021).

On this page

About Dr. Kevin Waterloo Dc NPPES

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

DR. KEVIN WATERLOO DC (NPI 1720486699) is an individual chiropractor in Jonesboro, Arkansas, licensed in Arkansas (16266) and active in the NPI registry since December 2014. He is a graduate of New York Chiropractic College (2014).

NPPES Registry Identity

NPI1720486699

Entity TypeIndividualMale

Primary Taxonomy111N00000X

Provider Legal NameDR. KEVIN WATERLOOCredential: DC

Location Address2317 E MATTHEWS AVEJonesboro, AR 72401-4415

Mailing Address2317 E Matthews AveJonesboro, AR 72401-4415 · (870) 520-6351 · Fax (870) 520-6353

Phone(870) 520-6351

Fax(870) 520-6353

Sole ProprietorNo

Medical School CMSNew York Chiropractic CollegeGraduated 2014

Enumeration DateDecember 9, 2014

Last NPPES UpdateOctober 23, 20242 updates tracked since enumeration

NPPES CertifiedOctober 23, 2024

✔ NPI 1720486699 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers

Taxonomy Code111N00000X

Licenses✔ Licensed in AR · 16266✔ Licensed in PA · DC010974

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.

2317 E MATTHEWS AVE, Jonesboro, AR 72401

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Arkansas Blue Cross and Blue Shield, Health Advantage, Octave and more.Insurance ›

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 Waterloo 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 ID3072826999

PECOS Enrollment IDI20250214001607

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 Waterloo's NPI number?

The NPI number for Kevin Waterloo is 1720486699. It was assigned to this individual provider in the NPPES registry on December 9, 2014.

Where is Kevin Waterloo located?

Kevin Waterloo practices at 2317 E Matthews Ave, Jonesboro, AR 72401. The listed phone number is (870) 520-6351.

What is Kevin Waterloo's specialty?

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

Is Kevin Waterloo enrolled in Medicare?

Yes. Kevin Waterloo 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.

What insurance does Kevin Waterloo accept?

Health plans from Arkansas Blue Cross and Blue Shield, Health Advantage, Octave and Providence Health Plan list Kevin Waterloo as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kevin Waterloo was last updated on October 23, 2024. 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.