Active NPI
Kyle Truscott, DC
- Chiropractor
- Beverly, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CHI3811
- Practice address
- 38R Enon St
Beverly, MA 01915-1166 - Phone
- (978) 927-8466
- NPI assigned
- Dec 28, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CHI3811 | MA | Primary |
Addresses
Primary practice location
38R Enon St
Beverly, MA 01915-1166
Mailing address
38R Enon St
Beverly, MA 01915-1166
Phone (978) 927-8466
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
36622 5 Mile Rd
Livonia, MI 48154-1900
Phone (734) 542-0200
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CHI3811 | MA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mendelson Orthopedics PC | Current | Accepting new patients | |
| Mendelson Orthopedics PC | Current | Accepting new patients | |
| Mendelson Orthopedics PC | Current | Accepting new patients | |
| Beth Israel Lahey Health Specialty Care, Inc. | Past | Accepting new patients | |
| Mendelson Orthopedics PC | Past | Accepting new patients |
Locations
7684 Solutions Ctr
#777684
Chicago, IL 60677
36622 5 Mile Rd
#102
Livonia, MI 48154
36622 5 Mile Rd
Livonia, MI 48154
Phone (734) 542-0200
600 Fort St
Ste 100
Port Huron, MI 48060
Phone (810) 987-9711
29275 Northwestern Hwy
Ste 207
Southfield, MI 48034
Phone (248) 354-2201
35735 Mound Rd
Ste 101
Sterling Heights, MI 48310
Phone (586) 510-7997
11900 E 12 Mile Rd
Ste 110
Warren, MI 48093
Phone (586) 261-1960
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 5
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.
-
dba mendelson kornblum orthopedic and spine surgeons
- Orthopaedic Surgery Physician
- Sterling Heights, MI
- NPI 1720395205
-
dba Mendelson Schoenherr
- Interventional Pain Medicine Physician
- Warren, MI
- NPI 1700239415
-
- Orthopaedic Surgery Physician
- Livonia, MI
- NPI 1720153463
-
- Internal Medicine Physician
- Gloucester, MA
- NPI 1235147760
-
dba mendelson kornblum orthopedic physical therapy
- Orthopedic Physical Therapist
- Warren, MI
- NPI 1023325438
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1672185600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1672185600000",
"number": "1548973100",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "38R ENON ST",
"city": "BEVERLY",
"state": "MA",
"postal_code": "019151166",
"telephone_number": "978-927-8466"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "38R ENON ST",
"city": "BEVERLY",
"state": "MA",
"postal_code": "019151166",
"telephone_number": "978-927-8466"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRUSCOTT",
"first_name": "KYLE",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-12-28",
"last_updated": "2022-12-28",
"certification_date": "2022-12-28",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MA",
"license": "CHI3811",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Beverly, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2022; 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.