Kyle D. Christensen, KYLE CHRISTENSEN

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

7774355-1202 Issued in UT

Practice address

1172 E 100 N Ste 12
Payson, UT 84651-1668

Phone

(801) 360-0749

NPI assigned

May 1, 2008

Last updated

Dec 5, 2018By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Dr. Kyle D. Christensen Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1209600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543968000000",
    "number": "1053587808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1172 E 100 N STE 12",
            "city": "PAYSON",
            "state": "UT",
            "postal_code": "846511668",
            "telephone_number": "801-360-0749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1172 E 100 N STE 12",
            "city": "PAYSON",
            "state": "UT",
            "postal_code": "846511668",
            "telephone_number": "801-360-0749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHRISTENSEN",
        "first_name": "KYLE",
        "middle_name": "D.",
        "name_prefix": "Dr.",
        "credential": "KYLE CHRISTENSEN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-05-01",
        "last_updated": "2018-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "17651",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "UT",
            "license": "7774355-1202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KYLE",
            "last_name": "CHRISTENSEN",
            "middle_name": "D.",
            "prefix": "DR.",
            "credential": "D.C.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Central Utah Pathology LLC
• Stephen Bret Chipman, MD
• James Dean Christensen, APRN
• Janie S Christensen, CRNA
• Kurt L Christensen, CRNA
• Tamra Chun, M ED, BCBA, LBA
• Robert Brent Clark, MD
• Aubay Maria Clayton
• Robert Brian Clegg, LCSW
• Co-Psyche LLC

• Chiropractor in Payson, UT
• Providers in Payson, UT by specialty
• Chiropractor in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.