OrganizationActive
Kevin S & Tina S Watt
NPI 1104059203 · Chiropractor · Lodi, CA
Kevin S & Tina S Watt is a Chiropractor organization in Lodi, CA (NPI 1104059203).
Provider details
- NPI number
- 1104059203
- Entity type
- Organization
- Primary specialty
- ChiropractorChiropractic Providers
- Organization subpart
- No
- Authorized official
- Kevin Watt, Owner(209) 334-2366
- License
- DC0240270 (CA)
Specialties & taxonomies
Chiropractic Providers
Profile Score
Detailed profile(85/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1822 W Kettleman Ln
Suite 5
Lodi, CA 95242-4218
Phone: (209) 334-2366
Fax: (209) 334-2377
Street-level locationGet directions
Mailing address
1822 W Kettleman Ln
Lodi, CA 95242-4218
Registry dates
- Enumerated
- 2009-08-24
- Last updated
- 2009-10-30
Frequently asked questions
- What is Kevin S & Tina S Watt's NPI number?
- Kevin S & Tina S Watt's National Provider Identifier (NPI) is 1104059203, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Kevin S & Tina S Watt?
- Kevin S & Tina S Watt is classified in the NPPES registry as Chiropractor (Chiropractic Providers).
- Where is Kevin S & Tina S Watt located?
- Kevin S & Tina S Watt's practice location on file with NPPES is 1822 W Kettleman Ln, Lodi, CA 95242-4218.
- What is Kevin S & Tina S Watt's phone number?
- The practice phone number listed in the NPPES registry for Kevin S & Tina S Watt is (209) 334-2366.
- Who is the authorized official for Kevin S & Tina S Watt?
- The authorized official listed on Kevin S & Tina S Watt's NPPES record is Kevin Watt, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Kevin S & Tina S Watt's NPI active?
- Yes — Kevin S & Tina S Watt's NPI (1104059203) is active in the NPPES registry as of the last update on 2009-10-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.