Individual provider Active NPI

Kyle Robert Ceynar, D.C

  • Chiropractor
  • Williston, ND
National Provider Identifier
1487948196
Registry record updated May 31, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
884 Issued in ND
Practice address
2315 2ND Ave W
Williston, ND 58801-3411
Phone
(701) 572-8796
Fax
(701) 774-0555
NPI assigned
May 31, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 31, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 884 ND Primary

Addresses

Primary practice location

2315 2ND Ave W
Williston, ND 58801-3411

Mailing address

2315 2ND Ave W
Williston, ND 58801-3411
Phone (701) 572-8796

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110706000062 ND Practitioner - Chiropractic 6406034909 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 2010
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1208 4TH Ave E
Williston, ND 58801-4317

2315 2ND Ave W
Williston, ND 58801-3411

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ceynar Chiropractic Clinic Chiropractor PastSince May 25, 2011 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1306800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1306800000000",
    "number": "1487948196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2315 2ND AVE W",
            "city": "WILLISTON",
            "state": "ND",
            "postal_code": "588013411",
            "telephone_number": "701-572-8796",
            "fax_number": "701-774-0555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2315 2ND AVE W",
            "city": "WILLISTON",
            "state": "ND",
            "postal_code": "588013411",
            "telephone_number": "701-572-8796",
            "fax_number": "701-774-0555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CEYNAR",
        "first_name": "KYLE",
        "middle_name": "ROBERT",
        "credential": "D.C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-05-31",
        "last_updated": "2011-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ND",
            "license": "884",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Williston, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2011; 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.