Kyle Ryan Tetz, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC29617 Issued in CA

Practice address

410 S Melrose Dr Ste 200
Vista, CA 92081

Phone

(760) 630-8060

Fax

(760) 630-8060

NPI assigned

Jan 30, 2007

Sex

Male

Sole proprietor

Yes

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 CA

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - West Sunnyvale, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Kyle Tetz Chiropractic Inc

  • Chiropractor
  • Vista, CA
  • NPI 1427371830
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547424000000",
    "number": "1134266331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 S MELROSE DR STE 200",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920816623",
            "telephone_number": "760-630-8060",
            "fax_number": "760-630-8060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 S MELROSE DR STE 200",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "92081",
            "telephone_number": "760-630-8060",
            "fax_number": "760-630-8060"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "510 Hacienda Dr Ste 107",
            "address_purpose": "LOCATION",
            "city": "Vista",
            "state": "CA",
            "postal_code": "920816639",
            "country_code": "US",
            "telephone_number": "760-630-8060",
            "fax_number": "760-630-7715",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "510 Hacienda Dr Ste 107",
            "address_purpose": "LOCATION",
            "city": "Vista",
            "state": "CA",
            "postal_code": "920816639",
            "country_code": "US",
            "telephone_number": "760-630-8060",
            "fax_number": "760-630-7715",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TETZ",
        "first_name": "KYLE",
        "middle_name": "RYAN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-30",
        "last_updated": "2019-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC29617",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Vista, CA
• Providers in Vista, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2019; 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.