Active NPI
Kyli Hodge, DC
- Chiropractor
- Mason, OH
National Provider Identifier
1144734765
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 04759
- Practice address
- 6499 S Mason Montgomery Rd
Mason, OH 45040-1764 - Phone
- (513) 229-7777
- Fax
- (513) 229-0195
- NPI assigned
- Nov 17, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 04759 | OH | Primary |
Addresses
Primary practice location
6499 S Mason Montgomery Rd
Mason, OH 45040-1764
Mailing address
2300 Wall St Ste Q
Cincinnati, OH 45212-2789
Phone (513) 531-2277
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 04759 | OH | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1510876800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1529107200000",
"number": "1144734765",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2300 WALL ST STE Q",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452122789",
"telephone_number": "513-531-2277",
"fax_number": "513-531-2278"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6499 S MASON MONTGOMERY RD",
"city": "MASON",
"state": "OH",
"postal_code": "450401764",
"telephone_number": "513-229-7777",
"fax_number": "513-229-0195"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HODGE",
"first_name": "KYLI",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-11-17",
"last_updated": "2018-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "OH",
"license": "04759",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mason, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.