Kyle Seth Muir, D.C.
Individual provider Active NPI Chiropractor · Boardman, OH
NPI 1477972164 · NPPES record last updated Jan 24, 2019
Key facts
- NPI
- 1477972164
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- DC-04826 (OH)
- Practice address
- 1280 Boardman Canfield Rd Ste 1
Boardman, OH 44512-4073 - Phone
- (330) 360-6264
- NPI assigned
- Apr 10, 2014
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- Sherman College of Straight Chiropractic, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1280 Boardman Canfield Rd
Suite 1
Boardman, OH 44512-4073
Phone (330) 953-1330
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190220001479 | OH | Practitioner - Chiropractic | 8921346735 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC010881 | PA | MD | Chiropractor |
| AJ010659 | PA | MD | Rehabilitation Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| 330 Chiropractic LLC | Chiropractor | Current |
Accepting new patients |
Locations
1280 Boardman Canfield Rd
Ste 1
Boardman, OH 44512
Phone (330) 360-6264
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC010881 | PA | |
| Rehabilitation Chiropractor | 111NR0400X | AJ010659 | PA | |
| Chiropractor | 111N00000X | DC-04826 | OH | Yes |
Addresses
Primary practice location
1280 Boardman Canfield Rd Ste 1
Boardman, OH 44512-4073
Mailing address
307 Baron CT
Zelienople, PA 16063-2406
Phone (330) 360-6264
Other practice location 1
4241 William Penn Hwy
Murrysville, PA 15668-1913
Phone (724) 327-5665
Other providers in Boardman, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 24, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.