Kyle L Skinner, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1660 Issued in AR

Practice address

103 Park Dr
Maumelle, AR 72113-7407

Phone

(501) 851-6685

Fax

(501) 851-6495

NPI assigned

Jun 5, 2006

Last updated

Nov 13, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2005

Medicare assignment

May accept Medicare assignment

Group practices

Investec Inc.Group PAC ID 3870672751, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Investec Inc.

  dba Skinner Chiropractic & Rehab

  • Chiropractor
  • Maumelle, AR
  • NPI 1902080724
  Medicare reassignment Care Compare group NPD Authorized official
• Skinner Chiropractic PLLC

  • Chiropractor
  • Maumelle, AR
  • NPI 1679597298
  NPD (past) Authorized official
• Fowler, Inc

  dba Solutions Chiropractic and Rehabilitation

  • Chiropractor
  • Paris, AR
  • NPI 1093254724
  NPD (past)

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

{
    "created_epoch": "1149465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542067200000",
    "number": "1043259120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 PARK DR",
            "city": "MAUMELLE",
            "state": "AR",
            "postal_code": "721137407",
            "telephone_number": "501-851-6685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 PARK DR",
            "city": "MAUMELLE",
            "state": "AR",
            "postal_code": "721137407",
            "telephone_number": "501-851-6685",
            "fax_number": "501-851-6495"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "130 Houston Ave Ste A",
            "address_purpose": "LOCATION",
            "city": "Perryville",
            "state": "AR",
            "postal_code": "721269424",
            "country_code": "US",
            "telephone_number": "501-889-5555",
            "fax_number": "501-851-6495",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SKINNER",
        "first_name": "KYLE",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-05",
        "last_updated": "2018-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AR",
            "license": "1660",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Suman Siddamreddy, MD
• Toronsa Mechel Simpson
• Lovepreet Singh, M.D.
• Skilled Therapy Providers
• Skinner Chiropractic PLLC
• Omar Skir
• Sleep Partners LLC
• Sleep Partners LLC (Sleep Management Services, Inc)
• Nathan Joseph Slinkard, MS, RD, LD
• Marian L. Smith, PHD

• Chiropractor in Maumelle, AR
• Providers in Maumelle, AR by specialty
• Chiropractor in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2018; 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.