Individual provider Active NPI

Kyle Daryl Egner, D.C.

  • Chiropractor
  • Benton, KY
National Provider Identifier
1215115183
Registry record updated Oct 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5100 Issued in KY
Practice address
619 Old Symsonia Rd Ste B
Benton, KY 42025-5094
Phone
(270) 527-3050
Fax
(270) 527-0505
NPI assigned
Feb 4, 2008
Last updated
Oct 25, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 5100 KY Primary

Addresses

Primary practice location

619 Old Symsonia Rd Ste B
Benton, KY 42025-5094

Mailing address

619 Old Symsonia Rd Ste B
Benton, KY 42025-5094
Phone (270) 703-7431

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080225000192 KY Practitioner - Chiropractic 1658455068 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 2007
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

619 Old Symsonia Rd
Suite B
Benton, KY 42025-5094
Phone (270) 527-3050

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Egner Chiropractic and Rehabilitation Center, PLLC Chiropractor CurrentSince Feb 1, 2008 Accepting new patients

Locations

619 Old Symsonia Rd
Benton, KY 42025
Phone (270) 527-0880

619 Old Symsonia Rd
Ste B
Benton, KY 42025
Phone (270) 527-3050

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": "1202083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698192000000",
    "number": "1215115183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "619 OLD SYMSONIA RD STE B",
            "city": "BENTON",
            "state": "KY",
            "postal_code": "420255094",
            "telephone_number": "270-703-7431",
            "fax_number": "270-527-0505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "619 OLD SYMSONIA RD STE B",
            "city": "BENTON",
            "state": "KY",
            "postal_code": "420255094",
            "telephone_number": "270-527-3050",
            "fax_number": "270-527-0505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EGNER",
        "first_name": "KYLE",
        "middle_name": "DARYL",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-02-04",
        "last_updated": "2023-10-25",
        "certification_date": "2023-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KY",
            "license": "5100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Benton, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 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.