Individual provider Active NPI

Kyle Thomas Ordille, DC

  • Chiropractor
  • Mount Pleasant, SC
National Provider Identifier
1437998911
Registry record updated Apr 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5030 Issued in SC
Practice address
907 Houston Northcutt Blvd
Mount Pleasant, SC 29464-3448
Phone
(717) 743-7138
NPI assigned
May 23, 2024
Last updated
Apr 8, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 5030 SC Primary

Addresses

Primary practice location

907 Houston Northcutt Blvd
Mount Pleasant, SC 29464-3448

Mailing address

171 3Rd Ave Apt C
Charleston, SC 29403-3673
Phone (717) 743-7138

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250409002384 SC Practitioner - Chiropractic 9436673639 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Sherman College of Straight Chiropractic, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kirar Chiropractic Wellness IncGroup PAC ID 4183897895, 5 clinicians
Patriots Point ChiropracticGroup PAC ID 7214262831, 4 clinicians

Practice addresses (Care Compare)

551 College Park Rd
Ladson, SC 29456-3329
Phone (843) 572-2224

907 Houston Northcutt Blvd
Mt Pleasant, SC 29464-3448
Phone (843) 856-0351

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Patriots Point Chiropractic, LLC Chiropractor CurrentSince Jan 23, 2025 Accepting new patients
Kirar Chiropractic Wellness Inc Chiropractor CurrentSince Jan 21, 2026 Accepting new patients
TM&M, LLC Chiropractor CurrentSince May 26, 2024 Accepting new patients

Locations

907 Houston Northcutt Blvd
Mt Pleasant, SC 29464
Phone (843) 856-0351

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1716422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744070400000",
    "number": "1437998911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "171 3RD AVE APT C",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294033673",
            "telephone_number": "717-743-7138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "907 HOUSTON NORTHCUTT BLVD",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294643448",
            "telephone_number": "717-743-7138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORDILLE",
        "first_name": "KYLE",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-05-23",
        "last_updated": "2025-04-08",
        "certification_date": "2025-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "5030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Pleasant, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2025; 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.