Individual provider Active NPI

Kyle Sutherland

  • Chiropractor
  • Frankfort, KY
National Provider Identifier
1285379362
Registry record updated May 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
277461 Issued in KY
Practice address
201 Brighton Park Blvd Ste 4
Frankfort, KY 40601-3717
Phone
(502) 695-4455
Fax
(502) 695-0727
NPI assigned
May 3, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 3, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 277461 KY Primary

Addresses

Primary practice location

201 Brighton Park Blvd Ste 4
Frankfort, KY 40601-3717

Mailing address

201 Brighton Park Blvd Ste 4
Frankfort, KY 40601-3717
Phone (502) 695-4455

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220523001449 KY Practitioner - Chiropractic 9830576305 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Frankfort Chiropractic Center East, PLLCGroup PAC ID 2860625522, 4 clinicians

Practice addresses (Care Compare)

201 Brighton Blvd
Suite 4
Frankfort, KY 40601-3717
Phone (502) 695-4455

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Frankfort Chiropractic Center East PLLC Chiropractor CurrentSince May 2, 2022 Accepting new patients

Locations

201 Brighton Park Blvd
Ste 4
Frankfort, KY 40601
Phone (502) 695-4455

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1651536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651536000000",
    "number": "1285379362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 BRIGHTON PARK BLVD STE 4",
            "city": "FRANKFORT",
            "state": "KY",
            "postal_code": "406013717",
            "telephone_number": "502-695-4455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 BRIGHTON PARK BLVD STE 4",
            "city": "FRANKFORT",
            "state": "KY",
            "postal_code": "406013717",
            "telephone_number": "502-695-4455",
            "fax_number": "502-695-0727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUTHERLAND",
        "first_name": "KYLE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-05-03",
        "last_updated": "2022-05-03",
        "certification_date": "2022-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KY",
            "license": "277461",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frankfort, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2022; 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.