Individual provider Active NPI

Kyle Rahn, DC

  • Chiropractor
  • Lapeer, MI
National Provider Identifier
1578108239
Registry record updated Feb 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301010889 Issued in MI
Practice address
793 S Main St Ste a
Lapeer, MI 48446-3094
Phone
(810) 664-3333
Fax
(810) 664-1361
NPI assigned
Nov 16, 2019
Last updated
Feb 8, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2301010889 MI Primary

Addresses

Primary practice location

793 S Main St Ste a
Lapeer, MI 48446-3094

Mailing address

793 S Main St Ste a
Lapeer, MI 48446-3094
Phone (810) 664-3333

Other practice location 1

758 N State St
Caro, MI 48723-1546
Phone (989) 672-4141

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191206002197 MI Practitioner - Chiropractic 7911330816 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

793 S Main St
Suite a
Lapeer, MI 48446-3094
Phone (810) 664-3333

793 S Main St a
Downtown Chiropractic
Lapeer, MI 48446-3094
Phone (810) 664-3333

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Prime Internists PLLC CurrentSince Nov 10, 2023 Accepting new patients
Rahn Chiropractic PLLC Chiropractor CurrentSince Jul 17, 2020 Accepting new patients
Caro Chiropractic PC Chiropractor CurrentSince Apr 22, 2021 Accepting new patients
Advanced Chiropractic of Midland P.C. Chiropractor CurrentSince May 7, 2020 Accepting new patients
Downtown Chiropractic P.C. Chiropractor PastSince Jan 3, 2021 Accepting new patients

Locations

758 N State St
Caro, MI 48723
Phone (989) 672-4141

793 S Main St
Ste A
Lapeer, MI 48446
Phone (810) 664-3333

214 W Wackerly St
Ste 100
Midland, MI 48640
Phone (989) 837-5997

7261 Gratiot Rd
Saginaw, MI 48609
Phone (989) 270-3100

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1573862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612742400000",
    "number": "1578108239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "793 S MAIN ST STE A",
            "city": "LAPEER",
            "state": "MI",
            "postal_code": "484463094",
            "telephone_number": "810-664-3333",
            "fax_number": "810-664-1361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "793 S MAIN ST STE A",
            "city": "LAPEER",
            "state": "MI",
            "postal_code": "484463094",
            "telephone_number": "810-664-3333",
            "fax_number": "810-664-1361"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "758 N State St",
            "address_purpose": "LOCATION",
            "city": "Caro",
            "state": "MI",
            "postal_code": "487231546",
            "country_code": "US",
            "telephone_number": "989-672-4141",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAHN",
        "first_name": "KYLE",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-11-16",
        "last_updated": "2021-02-08",
        "certification_date": "2021-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301010889",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lapeer, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 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.