Individual provider Active NPI

Kyle Stuart Ormsbee, DC

  • Chiropractor
  • Utica, MI
National Provider Identifier
1205016805
Registry record updated May 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301007107 Issued in MI
Practice address
46056 Cass Ave
Utica, MI 48317-5243
Phone
(586) 254-1020
Fax
(586) 254-5272
NPI assigned
Nov 12, 2007
Last updated
May 15, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2301007107 MI Primary

Addresses

Primary practice location

46056 Cass Ave
Utica, MI 48317-5243

Mailing address

46056 Cass Ave
Utica, MI 48317-5243
Phone (586) 254-1020

Other identifiers 3

IdentifierTypeStateIssuer
950E05247OtherMIBCN
950E016670OtherMIBCBSM
421657036OtherMICOMMERCIAL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050303000967 MI Practitioner - Chiropractic 8325091374 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

46056 Cass Ave
Utica, MI 48317-5243
Phone (586) 254-1020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2301007107MIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Ormsbee Chiropractic PC Chiropractor CurrentSince Jan 18, 2005 Accepting new patients

Locations

46056 Cass Ave
Utica, MI 48317
Phone (586) 254-1020

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1194825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400112000000",
    "number": "1205016805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46056 CASS AVE",
            "city": "UTICA",
            "state": "MI",
            "postal_code": "483175243",
            "telephone_number": "586-254-1020",
            "fax_number": "586-254-5272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46056 CASS AVE",
            "city": "UTICA",
            "state": "MI",
            "postal_code": "483175243",
            "telephone_number": "586-254-1020",
            "fax_number": "586-254-5272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORMSBEE",
        "first_name": "KYLE",
        "middle_name": "STUART",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-11-12",
        "last_updated": "2014-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301007107",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCN",
            "identifier": "950E05247",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "950E016670",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMERCIAL",
            "identifier": "421657036",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Utica, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2014; 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.