Active NPI
Kyle L States, D.C.
- Chiropractor
- Shawnee, OK
National Provider Identifier
1376894600
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 4073
- Practice address
- 65 Timber Creek Dr
Shawnee, OK 74804-1148 - Phone
- (405) 613-2918
- Fax
- (405) 275-3210
- NPI assigned
- Sep 26, 2012
- Sex
- Male
- Sole proprietor
- Yes
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 | 4073 | OK | Primary |
Addresses
Primary practice location
65 Timber Creek Dr
Shawnee, OK 74804-1148
Mailing address
65 Timber Creek Dr
Shawnee, OK 74804-1148
Phone (405) 613-2918
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4073 | OK | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| States Chiropractic PLLC | Chiropractor | Past | Accepting new patients |
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.
-
- Chiropractor
- Shawnee, OK
- NPI 1467880856
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1348617600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1348617600000",
"number": "1376894600",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "65 TIMBER CREEK DR",
"city": "SHAWNEE",
"state": "OK",
"postal_code": "748041148",
"telephone_number": "405-613-2918",
"fax_number": "405-275-3210"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "65 TIMBER CREEK DR",
"city": "SHAWNEE",
"state": "OK",
"postal_code": "748041148",
"telephone_number": "405-613-2918",
"fax_number": "405-275-3210"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STATES",
"first_name": "KYLE",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-09-26",
"last_updated": "2012-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "OK",
"license": "4073",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Shawnee, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.