Individual provider Active NPI

Kayla May Fairchild, DC

  • Chiropractor
  • Defiance, OH
National Provider Identifier
1003525577
Registry record updated Mar 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC-05207 Issued in OH
Practice address
100 Stadium Dr Ste B
Defiance, OH 43512-4615
Phone
(419) 576-5070
NPI assigned
Nov 23, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC-05207 OH Primary

Addresses

Primary practice location

100 Stadium Dr Ste B
Defiance, OH 43512-4615

Mailing address

100 Stadium Dr Ste B
Defiance, OH 43512-4615
Phone (419) 576-5070

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230309000414 OH Practitioner - Chiropractic 7618349390 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Defiance Chiropractic Center IncGroup PAC ID 4284813981, 6 clinicians

Practice addresses (Care Compare)

1770 Jefferson Ave
Defiance, OH 43512-3479
Phone (419) 784-2300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC-05207OHMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Defiance Chiropractic Center, Inc. Chiropractor CurrentSince Dec 1, 2024 Accepting new patients
Fairchild Family Chiropractic, LLC Chiropractor CurrentSince Nov 29, 2022 Accepting new patients
Henry County Hospital Inc PastSince Nov 27, 2022 Accepting new patients

Locations

1770 Jefferson Ave
Defiance, OH 43512
Phone (419) 782-2250

100 Stadium Dr
Ste B
Defiance, OH 43512
Phone (419) 576-5070

100 Stadium Dr
Defiance, OH 43512
Phone (419) 439-2758

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1669161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710288000000",
    "number": "1003525577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 STADIUM DR STE B",
            "city": "DEFIANCE",
            "state": "OH",
            "postal_code": "435124615",
            "telephone_number": "419-576-5070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 STADIUM DR STE B",
            "city": "DEFIANCE",
            "state": "OH",
            "postal_code": "435124615",
            "telephone_number": "419-576-5070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAIRCHILD",
        "first_name": "KAYLA",
        "middle_name": "MAY",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-23",
        "last_updated": "2024-03-13",
        "certification_date": "2024-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "DC-05207",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Defiance, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.