Kyle Luis Canales, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

6120-12 Issued in WI

Practice address

1225 Main St
Stevens Point, WI 54481-2864

Phone

(715) 344-2990

NPI assigned

Dec 13, 2023

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

Enrolled in WI

Enrollment records 1

Specialty

Chiropractic

Education

Northwestern College of Chiropractic, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Chiro One Wellness Center of Stevens Point LLC

  • Chiropractor
  • Stevens Point, WI
  • NPI 1083359814
  Medicare reassignment NPD

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

{
    "created_epoch": "1702425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702425600000",
    "number": "1407624000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "W5502 KING RD",
            "city": "RIO",
            "state": "WI",
            "postal_code": "539609569",
            "telephone_number": "920-767-1152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1225 MAIN ST",
            "city": "STEVENS POINT",
            "state": "WI",
            "postal_code": "544812864",
            "telephone_number": "715-344-2990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANALES",
        "first_name": "KYLE",
        "middle_name": "LUIS",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-12-13",
        "last_updated": "2023-12-13",
        "certification_date": "2023-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "6120-12",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew James Busse, MS-LPC
• James D Butler, MD
• Jacqueline K Buttke, APNP
• Bethany Lynn Byes, PTA
• Vicky Lyn Calawerts, RPH
• Kiersten Carley, MA, LPC
• Ronda Leah Cates, ADN
• Catholic Charities of the Diocese of la Crosse, Inc.
• Caroline Caton, LCSW
• Michael W Cavanaugh, P.A.-C

• Chiropractor in Stevens Point, WI
• Providers in Stevens Point, WI by specialty
• Chiropractor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2023; 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.