Kyle Buck, D.C.

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

License

CHR.0008081 Issued in CO

Practice address

600 S Airport Rd Unit C
Longmont, CO 80503-6424

Phone

(303) 776-6767

NPI assigned

Apr 10, 2015

Last updated

Oct 23, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Colorado Integrated Care Network LLCGroup PAC ID 0244770279, 16 clinicians

Brothers Buck, PCGroup PAC ID 8426478298, 3 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Brothers Buck PC

  • Chiropractor
  • Longmont, CO
  • NPI 1124667431
  Medicare reassignment Care Compare group NPD
• Colorado Integrated Care Network LLC

  • Physical Medicine & Rehabilitation Physician
  • Golden, CO
  • NPI 1225464399
  Medicare reassignment Care Compare group NPD
• New Leaf Chiropractic, LLC

  • Pediatric Chiropractor
  • Longmont, CO
  • NPI 1336472950
  NPD (past)
• Maximum Mobility Chiropractic, Inc

  • Sports Physician Chiropractor
  • Chandler, AZ
  • NPI 1790926293
  NPD (past)

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

{
    "created_epoch": "1428624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634947200000",
    "number": "1548656127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 S AIRPORT RD UNIT C",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805036424",
            "telephone_number": "303-776-6767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 S AIRPORT RD UNIT C",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805036424",
            "telephone_number": "303-776-6767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCK",
        "first_name": "KYLE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-10",
        "last_updated": "2021-10-23",
        "certification_date": "2021-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH60547174",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "8540",
            "primary": false
        },
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "CO",
            "license": "CHR.0008081",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Brunetti
• James Francis Buchanan, LPCC
• Kaylinn Buchanan
• Benjamin M Buck, D.C.
• James R Buck, JAMES BUCK DDS
• Lauren Buckingham, RDN
• Laurie Budgar, MS, CCC/SLP
• Andrea Joann Bullard
• Lane Bunker, DC
• Julie Anne Bunnell

• Sports Physician Chiropractor in Longmont, CO
• Providers in Longmont, CO by specialty
• Sports Physician Chiropractor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2021; 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.