Kyle William Konas, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2301010635 Issued in MI

Practice address

2400 Northern Visions Dr
Traverse City, MI 49684-7034

Phone

(231) 846-8897

NPI assigned

Mar 20, 2018

Last updated

Jan 12, 2023By 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 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Shift Chiropractic PLCGroup PAC ID 6608127808, 4 clinicians

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Shift Chiropractic, PLC

  dba Shift Chiropractic

  • Chiropractor
  • Traverse City, MI
  • NPI 1770087199
  Medicare reassignment Care Compare group NPD Authorized official
• Well-Spring Psychiatry, P.C.

  • Psychiatry Physician
  • Traverse City, MI
  • NPI 1922112077
  NPD (past)

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

{
    "created_epoch": "1521504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673481600000",
    "number": "1144724550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 NORTHERN VISIONS DR",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496847034",
            "telephone_number": "231-846-8897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 NORTHERN VISIONS DR",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496847034",
            "telephone_number": "231-846-8897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KONAS",
        "first_name": "KYLE",
        "middle_name": "WILLIAM",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-03-20",
        "last_updated": "2023-01-12",
        "certification_date": "2023-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301010635",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marcia Lynn Kolinski, FNP-BC
• Ryan Kolle
• Kristian Michael Koller, D.O.
• Nancy Kollhoff, LPC
• Kati Lynn Komorosky
• Kayla Marie Konen
• Chalice M Kopacki, LMSW, MPA
• Susan J Kopka, MSW
• Susan Elizabeth Korson, PA
• Karaleigh Kosch

• Chiropractor in Traverse City, MI
• Providers in Traverse City, MI by specialty
• Chiropractor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2023; 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.