Active NPI
Kyle Marvin Onken
- Student in an Organized Health Care Education/Training Program
- Lafayette, IN
National Provider Identifier
1598647620
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 136 Durkees Run Dr
Lafayette, IN 47905-5560 - Phone
- (765) 586-8987
- NPI assigned
- Jul 21, 2025
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary |
Addresses
Primary practice location
136 Durkees Run Dr
Lafayette, IN 47905-5560
Mailing address
136 Durkees Run Dr
Lafayette, IN 47905-5560
Phone (765) 586-8987
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1753056000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1753056000000",
"number": "1598647620",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "136 DURKEES RUN DR",
"city": "LAFAYETTE",
"state": "IN",
"postal_code": "479055560",
"telephone_number": "765-586-8987"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "136 DURKEES RUN DR",
"city": "LAFAYETTE",
"state": "IN",
"postal_code": "479055560",
"telephone_number": "765-586-8987"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ONKEN",
"first_name": "KYLE",
"middle_name": "MARVIN",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-07-21",
"last_updated": "2025-07-21",
"certification_date": "2025-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lafayette, IN
- William K Oliver III, DPM
- Brooke Rigney Olsen, PH.D, HSPP
- Judith Marquess Olson, AU.D., CCC-A
- Said Abdel-Razik Omar, M.D
- Caeb Andrew Onken, DDS
- Brittany Ooms, MA, BCBA, LBA
- Open Arms Counseling, Inc.
- Oral and Maxillofacial Surgery Center of Lafayette
- Oral Surgery Office LLC
- Eric Marcus Orenstein, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.