Individual provider Active NPI

Kyler York, L.AC.

  • Acupuncturist
  • Wilmington, NC
National Provider Identifier
1629527874
Registry record updated Feb 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
LAC-1067 Issued in NC
Practice address
516 Princess St
Wilmington, NC 28401-4131
Phone
(910) 367-5747
NPI assigned
Sep 29, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 198.001343 IL
Acupuncturist 171100000X LAC-1067 NC Primary

Addresses

Primary practice location

516 Princess St
Wilmington, NC 28401-4131

Mailing address

401 S 5TH Ave Unit D
Wilmington, NC 28401-5187
Phone (910) 274-6711

Other practice location 1

1834 W North Ave
Suite 1
Chicago, IL 60622-1312
Phone (773) 227-9150

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
198.001343ILMDAcupuncturist
LAC-1067NCMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Moon Tides Acupuncture, Inc. Acupuncturist CurrentSince Feb 12, 2023 Accepting new patients
Alternative Health Group LLC Acupuncturist Past Accepting new patients

Locations

516 Princess St
Wilmington, NC 28401
Phone (910) 367-5747

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": "1475107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675468800000",
    "number": "1629527874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 S 5TH AVE UNIT D",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284015187",
            "telephone_number": "910-274-6711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "516 PRINCESS ST",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284014131",
            "telephone_number": "910-367-5747"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1834 W North Ave",
            "address_2": "Suite 1",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606221312",
            "country_code": "US",
            "telephone_number": "773-227-9150",
            "fax_number": "773-227-9160",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YORK",
        "first_name": "KYLER",
        "name_prefix": "Ms.",
        "credential": "L.AC.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-29",
        "last_updated": "2023-02-04",
        "certification_date": "2023-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "IL",
            "license": "198.001343",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NC",
            "license": "LAC-1067",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2023; 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.