Kyle William Grimes, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

5041-12 Issued in WI

Practice address

W502 Spur LN
Fountain City, WI 54629-7208

Phone

(608) 687-1255

Fax

(608) 687-1255

NPI assigned

May 13, 2013

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 WI

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Hulsebus and Gehlsen Chiropractic

  • Chiropractor
  • Freeport, IL
  • NPI 1043433162
  NPD (past)

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

{
    "created_epoch": "1368403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416960000000",
    "number": "1285070664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "W502 SPUR LN",
            "city": "FOUNTAIN CITY",
            "state": "WI",
            "postal_code": "546297208",
            "telephone_number": "608-687-1255",
            "fax_number": "608-687-1255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "W502 SPUR LN",
            "city": "FOUNTAIN CITY",
            "state": "WI",
            "postal_code": "546297208",
            "telephone_number": "608-687-1255",
            "fax_number": "608-687-1255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIMES",
        "first_name": "KYLE",
        "middle_name": "WILLIAM",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-05-13",
        "last_updated": "2014-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "5041-12",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paige Allemann
• Kathryn Jane Benke, PT
• Foundations Chiropractic LLC
• Sherry J Foust, MS, CCC-SLP
• Samantha Grimes, D.C.
• Nicole L Kemp, PTA
• Cheryl Thomas Kuhn, MS CCC-SLP
• Mork Dental, SC
• Barbara Ann Parent, OTR

• Chiropractor in Fountain City, WI
• Providers in Fountain City, WI by specialty
• Chiropractor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.