Kyle Wallner, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2301010281 Issued in MI

Practice address

12403 Stark Rd
Livonia, MI 48150-1552

Phone

(734) 335-0533

NPI assigned

Jan 26, 2015

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Michigan Family Wellness PLLC

  • Nutrition Chiropractor
  • Canton, MI
  • NPI 1447931266
  NPD Authorized official

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

{
    "created_epoch": "1422230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469059200000",
    "number": "1386034684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12403 STARK RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481501552",
            "telephone_number": "734-335-0533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12403 STARK RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481501552",
            "telephone_number": "734-335-0533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALLNER",
        "first_name": "KYLE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-01-26",
        "last_updated": "2016-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301010281",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lalesia Wallace
• Lequana Wallace
• John Waller, CCP
• Wallis Chiropractic Health Center PLLC
• Brandon K Wallis, D.C.
• Ayana Marquet Walls, REGISTER NURSE
• Despina Zefiras Walsworth, M.D.
• Walter J. Zetusky, PH.D., P.C.
• Rachel S Walther, PA
• Ann Walton, CPBMT

• Chiropractor in Livonia, MI
• Providers in Livonia, MI by specialty
• Chiropractor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.