Kevin Michael Lyter, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH33945 Issued in WA

Practice address

1720 S 72ND St
Ste 102
Tacoma, WA 98408-1245

Phone

(253) 472-4424

Fax

(253) 471-9806

NPI assigned

May 25, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Specialty

Chiropractic

Education

Life Chiropractic College - West, 2000

Medicare assignment

May accept Medicare assignment

Group practices

Simmons Chiropractic ClinicGroup PAC ID 0648469775, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Simmons Chiropractic Clinic

  • Chiropractor
  • Tacoma, WA
  • NPI 1902109739
  Medicare reassignment Care Compare group
• RCC PS

  • Chiropractor
  • Tacoma, WA
  • NPI 1932147998
  NPD (past)

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

{
    "created_epoch": "1180051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1710198064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1720 S 72ND ST",
            "address_2": "STE 102",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984081245",
            "telephone_number": "253-472-4424",
            "fax_number": "253-471-9806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1720 S 72ND ST",
            "address_2": "STE 102",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984081245",
            "telephone_number": "253-472-4424",
            "fax_number": "253-471-9806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYTER",
        "first_name": "KEVIN",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH33945",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR AND INDUSTRIES",
            "identifier": "0151168",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Meg Lynn Lyons, MD
• Michael F Lyons II, MD
• Trevor Lyons
• Veronica Lyons
• Melinda M. Lysen, LMHC
• Amanda Lyyski
• M Tarek Baghdadi MD
• Kevin Ma, MD
• Wendy Ma
• Emily Ellen Maag, MEDICAL ASSISTANT

• Chiropractor in Tacoma, WA
• Providers in Tacoma, WA by specialty
• Chiropractor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.