Active NPI
Kyle McCarthy
- Chiropractor
- Fairfax, VA
National Provider Identifier
1043189236
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 0104558152
- Practice address
- 3970 Walnut St
Fairfax, VA 22030-4726 - Phone
- (703) 457-2337
- NPI assigned
- Nov 4, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 0104558152 | VA | Primary |
Addresses
Primary practice location
3970 Walnut St
Fairfax, VA 22030-4726
Mailing address
5551 Walnut Grove Cir
Struthers, OH 44471-3116
Phone (330) 727-7985
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Sherman College of Straight Chiropractic, 2025
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
11350 Random Hills Rd
Suite 300
Fairfax, VA 22030-7421
Phone (703) 373-7113
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC-05466 | OH | MD | Chiropractor |
Organizations & group practices 1
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": "1762214400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784678400000",
"number": "1043189236",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5551 WALNUT GROVE CIR",
"city": "STRUTHERS",
"state": "OH",
"postal_code": "444713116",
"telephone_number": "330-727-7985"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3970 WALNUT ST",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220304726",
"telephone_number": "703-457-2337"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCARTHY",
"first_name": "KYLE",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-11-04",
"last_updated": "2026-07-22",
"certification_date": "2026-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "VA",
"license": "0104558152",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fairfax, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2026; 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.