Kyle Depollar, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

F1-0011112 Issued in DE

Practice address

98 Central Ave
Ocean View, DE 19970-9715

Phone

(302) 319-5111

NPI assigned

Jun 19, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in DE

Enrollment records 1

Specialty

Chiropractic

Education

Life Chiropractic College, 2023

Medicare assignment

May accept Medicare assignment

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 and National Provider Directory roles.

• Ao Chiro Inc.

  • Health Service Clinic/Center
  • Ocean View, DE
  • NPI 1891532909
  Medicare reassignment NPD Authorized official
• Meg Barchiesi, D.C. LLC

  • Chiropractor
  • Lewes, DE
  • NPI 1619280161
  NPD
• First State Nutrition LLC

  • Nutritionist
  • Wilmington, DE
  • NPI 1598268229
  NPD (past)

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

{
    "created_epoch": "1687132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721001600000",
    "number": "1073298972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 BETHANY FOREST DR",
            "city": "DAGSBORO",
            "state": "DE",
            "postal_code": "199399218",
            "telephone_number": "301-789-8768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "98 CENTRAL AVE",
            "city": "OCEAN VIEW",
            "state": "DE",
            "postal_code": "199709715",
            "telephone_number": "302-319-5111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEPOLLAR",
        "first_name": "KYLE",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-06-19",
        "last_updated": "2024-07-15",
        "certification_date": "2024-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "DE",
            "license": "F1-0011112",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR010986",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bonnie Lynn Burnquist, MD
• Robert James Cairo, PT, BS, MS
• Customfit360
• David Gannon, DPM, LLC
• Delaware CVS Pharmacy LLC
• Diana Heath LLC
• Heyue Du, M.D.
• East Coast Speech Therapy LLC
• Margaret Ewancio
• Cindy A Fajardo, PT

• Chiropractor in Ocean View, DE
• Providers in Ocean View, DE by specialty
• Chiropractor in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 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.