Kyle David Boland, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4770012 Issued in WI

Practice address

N4622 County Road M
West Salem, WI 54669-9522

Phone

(608) 612-0777

Fax

(608) 807-5142

NPI assigned

Aug 23, 2011

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Coulee Health LLCGroup PAC ID 0143460659, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Coulee Health LLC

  • Chiropractor
  • West Salem, WI
  • NPI 1407196298
  Medicare reassignment Care Compare group NPD Authorized official
• Nelson Chiropractic Systems, P.C.

  dba Nelson Chiropractic

  • Chiropractor
  • Bettendorf, IA
  • NPI 1477566404
  NPD
• Galesburg Wellness Systems P.C.

  dba Galesburg Wellness Center

  • Chiropractor
  • Galesburg, IL
  • NPI 1255813770
  NPD (past)

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

{
    "created_epoch": "1314057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720483200000",
    "number": "1427338334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N4622 COUNTY ROAD M",
            "city": "WEST SALEM",
            "state": "WI",
            "postal_code": "546699522",
            "telephone_number": "608-612-0777",
            "fax_number": "608-807-5142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "N4622 COUNTY ROAD M",
            "city": "WEST SALEM",
            "state": "WI",
            "postal_code": "546699522",
            "telephone_number": "608-612-0777",
            "fax_number": "608-807-5142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLAND",
        "first_name": "KYLE",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-08-23",
        "last_updated": "2024-07-09",
        "certification_date": "2024-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038011984",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "007563",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "4770012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1427338334",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Andrea M Babinski, RN
• Megan J Bagniefski, OTR
• Kristin Patricia Barth, CRNA
• Mary Clare Becks, MT-BC, NMT, WMTR
• Erica Boland, D.C.
• Karen J Bonifas, PT
• Angela Boutin, LPN
• Amy Pat Brieske, RPH
• Jennifer Bungartz
• Burkhardt Physical Therapy Center LLC

• Chiropractor in West Salem, WI
• Providers in West Salem, WI by specialty
• Chiropractor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2024; 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.