Individual provider Active NPI

Kyle Durieux, D.C.

  • Chiropractor
  • St George, UT
National Provider Identifier
1609163617
Registry record updated Jun 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
7889602 Issued in UT
Practice address
1091 N Bluff St
Suite# 309
Saint George, UT 84770-4894
Phone
(435) 688-0444
NPI assigned
Jun 29, 2011
Last updated
Jun 29, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 29, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 7889602 UT Primary

Addresses

Primary practice location

1091 N Bluff St
Suite# 309
Saint George, UT 84770-4894

Mailing address

1091 N Bluff St
Suite# 309
Saint George, UT 84770-4894

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

State licenses

LicenseStateTypeSpecialty
7889602UTMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Simply Health Chiropractic Center PLLC Chiropractor Past Accepting new patients
Red Hills Chiropractic Chiropractor PastSince Dec 26, 2015 Accepting new patients

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, 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": "1309305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1309305600000",
    "number": "1609163617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1091 N BLUFF ST",
            "address_2": "SUITE# 309",
            "city": "SAINT GEORGE",
            "state": "UT",
            "postal_code": "847704894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1091 N BLUFF ST",
            "address_2": "SUITE# 309",
            "city": "SAINT GEORGE",
            "state": "UT",
            "postal_code": "847704894",
            "telephone_number": "435-688-0444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DURIEUX",
        "first_name": "KYLE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-06-29",
        "last_updated": "2011-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "UT",
            "license": "7889602",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St George, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.