Active NPI
Kyle Conn, D.C.
- Chiropractor
- Grand Rapids, MI
National Provider Identifier
1346773181
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2301010529
- Practice address
- 3097 29TH St SE
Grand Rapids, MI 49512-1726 - Phone
- (616) 855-0510
- Fax
- (855) 710-7034
- NPI assigned
- Apr 8, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2301010529 | MI | Primary |
Addresses
Primary practice location
3097 29TH St SE
Grand Rapids, MI 49512-1726
Mailing address
3097 29TH St SE
Grand Rapids, MI 49512-1726
Phone (810) 656-0539
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1440 Torrey Rd
Suite D
Fenton, MI 48430-1340
Phone (810) 373-5536
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2301010529 | MI | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Saini Family Wellness, PLLC | Current | Accepting new patients |
Locations
1440 Torrey Rd
Ste D
Fenton, MI 48430
Phone (810) 373-5536
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.
-
- Health Service Clinic/Center
- Fenton, MI
- NPI 1790446813
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1491609600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1493596800000",
"number": "1346773181",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3097 29TH ST SE",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495121726",
"telephone_number": "810-656-0539",
"fax_number": "855-710-7034"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3097 29TH ST SE",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495121726",
"telephone_number": "616-855-0510",
"fax_number": "855-710-7034"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONN",
"first_name": "KYLE",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-04-08",
"last_updated": "2017-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MI",
"license": "2301010529",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Grand Rapids, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2017; 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.