Kyle Tetz Chiropractic Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC92617 Issued in CA

Legal business name

KYLE TETZ CHIROPRACTIC INC

Practice address

510 Hacienda Dr Ste 107
Vista, CA 92081-6639

Phone

(760) 630-8060

Fax

(760) 630-7715

NPI assigned

Mar 12, 2010

Last updated

Apr 3, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Kyle Tetz, D.C.NPI 1134266331

Title

President/Chiropractor

Phone

(760) 630-8060

Specialties & licenses 1

Addresses

Other names 1

• Kyle Tetz Chiropractic Inc Former legal business name

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kyle Ryan Tetz, D.C.

  • Chiropractor
  • Vista, CA
  • NPI 1134266331
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1268352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333411200000",
    "number": "1427371830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 HACIENDA DR STE 107",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920816639",
            "telephone_number": "760-630-8060",
            "fax_number": "760-630-7715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 HACIENDA DR STE 107",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920816639",
            "telephone_number": "760-630-8060",
            "fax_number": "760-630-7715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KYLE TETZ CHIROPRACTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-12",
        "last_updated": "2012-04-03",
        "status": "A",
        "authorized_official_last_name": "TETZ",
        "authorized_official_first_name": "KYLE",
        "authorized_official_title_or_position": "PRESIDENT/CHIROPRACTOR",
        "authorized_official_telephone_number": "760-630-8060",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC92617",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kyle Tetz Chiropractic Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Alexis Sebastian Kuney, LCSW
• Merin Kunukkasseril
• Steve Michael Kuriyama, MD
• Leena Kurre, DO
• Benjamin William Kurtz, D.P.T.
• La Fuente Care Post Acute, LLC
• Timothy James Lacerna
• Marjorie Frazer Lacey, M.F.T.
• Larissa Lacorte, MD
• Kaylee Elizabeth Lacuesta

• Chiropractor in Vista, CA
• Providers in Vista, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.