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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

KEVIN PHAN
NPI 1841180510
Chiropractor in Renton, WA

Active since July 05, 2025
435 SW 41ST ST, RENTON, WA 98057(425) 728-4822 Get Directions Write a Review

NPPES record last updated: September 2, 2026. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Sep 2, 2026, Aug 11, 2026, Jun 3, 2026 and 1 more (4 updates tracked since 2025).

About Kevin Phan NPPES

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

KEVIN PHAN (NPI 1841180510) is an individual chiropractor in Renton, Washington, licensed in Washington (CHIR.CH.70123429) and active in the NPI registry since July 2025. He is a graduate of Other (2026).

NPPES Registry Identity

NPI1841180510
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameKEVIN PHAN
Location Address435 SW 41ST STRenton, WA 98057-4926
Mailing Address435 Sw 41st StRenton, WA 98057-4926 · (425) 728-4822
Phone(425) 728-4822
Sole ProprietorNo
Medical School CMSOtherGraduated 2026
Enumeration DateJuly 5, 2025
Last NPPES UpdateSeptember 2, 20264 updates tracked since enumeration
NPPES CertifiedSeptember 2, 2026
✔ NPI 1841180510 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in WA · CHIR.CH.70123429
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.
435 SW 41ST ST, Renton, WA 98057
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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

Kevin Phan 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 ID3375008469
PECOS Enrollment IDI20260720001327

Other Providers at the Same Location NPPES 2

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

BAGBY CHIROPRACTIC PLLC
Chiropractor
435 SW 41ST ST
RENTON, WA 98057
King County (425) 251-9770
TRUE WEALTH CHIROPRACTIC PLLC
Chiropractor
435 SW 41ST ST
RENTON, WA 98057
King County (425) 728-4822

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 Phan's NPI number?

The NPI number for Kevin Phan is 1841180510. It was assigned to this individual provider in the NPPES registry on July 5, 2025.

Where is Kevin Phan located?

Kevin Phan practices at 435 SW 41st St, Renton, WA 98057. The listed phone number is (425) 728-4822.

What is Kevin Phan's specialty?

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

Is Kevin Phan enrolled in Medicare?

Yes. Kevin Phan 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 Phan was last updated on September 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 days 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.