Individual provider Active NPI

Kyle David Nickol, DC

  • Chiropractor
  • Helena, MT
National Provider Identifier
1558029421
Registry record updated Oct 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHI-CHI-LIC-7381 Issued in MT
Practice address
827 N Last Chance Gulch
Helena, MT 59601-3318
Phone
(406) 449-4445
Fax
(406) 495-0259
NPI assigned
Dec 7, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHI-CHI-LIC-7381 MT Primary

Addresses

Primary practice location

827 N Last Chance Gulch
Helena, MT 59601-3318

Mailing address

827 N Last Chance Gulch
Helena, MT 59601-3318
Phone (406) 449-4445

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211227001091 MT Practitioner - Chiropractic 4284025321 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Back in Action Chiropractic, PLLCGroup PAC ID 7315021052, 3 clinicians

Practice addresses (Care Compare)

827 N Last Chance Gulch
Suite a
Helena, MT 59601-3318
Phone (406) 449-4445

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CHI-CHI-LIC-7381MTMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Chiropractic Center, Inc. Chiropractor CurrentSince Dec 22, 2021 Accepting new patients
Back in Action Chiropractic, PLLC Chiropractor CurrentSince Mar 1, 2025 Accepting new patients

Locations

827 N Main St
Helena, MT 59601
Phone (406) 443-1448

827 N Last Chance Gulch
Ste A
Helena, MT 59601
Phone (406) 449-4445

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": "1638835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728518400000",
    "number": "1558029421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "827 N LAST CHANCE GULCH",
            "city": "HELENA",
            "state": "MT",
            "postal_code": "596013318",
            "telephone_number": "406-449-4445",
            "fax_number": "406-495-0259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "827 N LAST CHANCE GULCH",
            "city": "HELENA",
            "state": "MT",
            "postal_code": "596013318",
            "telephone_number": "406-449-4445",
            "fax_number": "406-495-0259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICKOL",
        "first_name": "KYLE",
        "middle_name": "DAVID",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-12-07",
        "last_updated": "2024-10-10",
        "certification_date": "2024-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MT",
            "license": "CHI-CHI-LIC-7381",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Helena, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2024; 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.