Individual provider Active NPI

Kyle Andrew Taylor, DC

  • Chiropractor
  • Phoenix, AZ
National Provider Identifier
1114646023
Registry record updated Aug 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
B01921 Issued in NV
Practice address
7710 W Lower Buckeye Rd
Phoenix, AZ 85043-3439
Phone
(623) 776-2225
NPI assigned
Aug 24, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X B01921 NV Primary

Addresses

Primary practice location

7710 W Lower Buckeye Rd
Phoenix, AZ 85043-3439

Mailing address

7710 W Lower Buckeye Rd
Phoenix, AZ 85043-3439

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221027000189 AZ Practitioner - Chiropractic 5799151189 Reassigns benefits to 1 organization

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
Group practices
Integrated Healthcare Partners PLLCGroup PAC ID 3577939180, 2 clinicians

Practice addresses (Care Compare)

7710 W Lower Buckeye Rd
Suite 115
Phoenix, AZ 85043-3439
Phone (623) 776-2225

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
B01921NVMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Healthcare Partners PLLC Chiropractor CurrentSince Sep 7, 2022 Accepting new patients
West Valley Physician Group LLC PastSince Aug 28, 2022 Accepting new patients

Locations

7710 W Lower Buckeye Rd
Ste 115
Phoenix, AZ 85043
Phone (623) 393-8767

7710 W Lower Buckeye Rd
Phoenix, AZ 85043
Phone (623) 387-9101

Organizations & group practices 2

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": "1661299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661299200000",
    "number": "1114646023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7710 W LOWER BUCKEYE RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850433439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7710 W LOWER BUCKEYE RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850433439",
            "telephone_number": "623-776-2225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "KYLE",
        "middle_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-08-24",
        "last_updated": "2022-08-24",
        "certification_date": "2022-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NV",
            "license": "B01921",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2022; 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.