Individual provider Active NPI

Cyle Kitchen, DC

  • Chiropractor
  • Shawnee, KS
National Provider Identifier
1093461956
Registry record updated Oct 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
01-06182 Issued in KS
Practice address
11957 Johnson Drive
Shawnee, KS 66216
Phone
(913) 353-5303
NPI assigned
Mar 1, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 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 01-06182 KS Primary

Addresses

Primary practice location

11957 Johnson Drive
Shawnee, KS 66216

Mailing address

24095 W 57TH St
Shawnee, KS 66226-2946

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220512001840 KS Practitioner - Chiropractic 5193102192 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Cleveland Chiropractic College - Kansas City, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

11957 Johnson Dr
Shawnee, KS 66216-1903
Phone (913) 353-5303

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
01-06182KSMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Total Care Chiropractic Integrative Wellness and Diagnostic Center LLC CurrentSince Oct 1, 2022 Accepting new patients
From the Ground Up Chiropractic LLC Chiropractor CurrentSince Apr 17, 2023 Accepting new patients

Locations

6308 College Blvd
Overland Park, KS 66211
Phone (913) 383-8505

11957 Johnson Dr
Shawnee, KS 66216
Phone (913) 353-5303

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": "1646092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729641600000",
    "number": "1093461956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24095 W 57TH ST",
            "city": "SHAWNEE",
            "state": "KS",
            "postal_code": "662262946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11957 JOHNSON DRIVE",
            "city": "SHAWNEE",
            "state": "KS",
            "postal_code": "66216",
            "telephone_number": "913-353-5303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KITCHEN",
        "first_name": "CYLE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-03-01",
        "last_updated": "2024-10-23",
        "certification_date": "2024-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KS",
            "license": "01-06182",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shawnee, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 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.