Active NPI
Kyle Joseph Depinet, DC
- Chiropractor
- Willard, OH
National Provider Identifier
1710515937
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC-04955
- Practice address
- 1050 S Main St
Willard, OH 44890-9589 - Phone
- (567) 207-5474
- NPI assigned
- Apr 1, 2020
- Last updated
- Apr 1, 2020
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC-04955 | OH | Primary |
Addresses
Primary practice location
1050 S Main St
Willard, OH 44890-9589
Mailing address
2736 S County Road 43
Republic, OH 44867-9334
Phone (567) 207-5474
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200519002069 | OH | Practitioner - Chiropractic | 0042641417 | Practice locations: Willard, OH |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1585699200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1585699200000",
"number": "1710515937",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2736 S COUNTY ROAD 43",
"city": "REPUBLIC",
"state": "OH",
"postal_code": "448679334",
"telephone_number": "567-207-5474"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1050 S MAIN ST",
"city": "WILLARD",
"state": "OH",
"postal_code": "448909589",
"telephone_number": "567-207-5474"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEPINET",
"first_name": "KYLE",
"middle_name": "JOSEPH",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-04-01",
"last_updated": "2020-04-01",
"certification_date": "2020-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "OH",
"license": "DC-04955",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Willard, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.