Individual provider Active NPI

Kyle Lewis

  • Chiropractor
  • West Palm Beach, FL
National Provider Identifier
1306491535
Registry record updated Aug 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH12887 Issued in FL
Practice address
1395 N Military TRL
West Palm Beach, FL 33409-6016
Phone
(561) 684-0333
NPI assigned
Aug 5, 2019
Last updated
Aug 5, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH12887 FL Primary

Addresses

Primary practice location

1395 N Military TRL
West Palm Beach, FL 33409-6016

Mailing address

1395 N Military TRL
West Palm Beach, FL 33409-6016
Phone (561) 684-0333

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200406002111 FL Practitioner - Chiropractic 8022446251 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH12887FLMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Altus Medical Group Chiropractor CurrentSince Oct 17, 2023 Accepting new patients
Foundation Chiropractic Clinic Inc Chiropractor CurrentSince Feb 15, 2020 Accepting new patients
Lantana Chiromed Centers Chiropractor PastSince Aug 11, 2019 Accepting new patients

Locations

14100 US Highway 1
Juno Beach, FL 33408
Phone (561) 262-9072

3535 Military Trl
Ste 200
Jupiter, FL 33458
Phone (561) 270-1897

1395 N Military Trl
West Palm Beach, FL 33409
Phone (561) 683-0023

Organizations & group practices 3

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": "1564963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564963200000",
    "number": "1306491535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1395 N MILITARY TRL",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334096016",
            "telephone_number": "561-684-0333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1395 N MILITARY TRL",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334096016",
            "telephone_number": "561-684-0333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "KYLE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-08-05",
        "last_updated": "2019-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH12887",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2019; 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.