Kyle Ryan Defreitas, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

11828 Issued in TX

Practice address

200 Market PL Ste 225
Highland Village, TX 75077-3333

Phone

(972) 966-3333

Fax

(972) 966-3339

NPI assigned

Nov 4, 2011

Last updated

May 31, 2024By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Elite Body Highland Village LLC

  • Chiropractor
  • Highland Village, TX
  • NPI 1760759633
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1320364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717113600000",
    "number": "1730466772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 MARKET PL",
            "city": "HIGHLAND VILLAGE",
            "state": "TX",
            "postal_code": "750773272",
            "telephone_number": "972-966-3333",
            "fax_number": "972-966-3339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 MARKET PL STE 225",
            "city": "HIGHLAND VILLAGE",
            "state": "TX",
            "postal_code": "750773333",
            "telephone_number": "972-966-3333",
            "fax_number": "972-966-3339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEFREITAS",
        "first_name": "KYLE",
        "middle_name": "RYAN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-11-04",
        "last_updated": "2024-05-31",
        "certification_date": "2024-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "11828",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dale G Swanholm MD PA
• Daria Dato, LCSW-S
• Cindy Davidson, RD
• Karen Davis
• Kathryn Michaela Dean, OTD, OTR
• Christina L Della Nebbia, PHD
• Dental Depot of Highland Village
• Dental Health Associates of Texas, PC. (MyHighlandVillageDentist.com)
• Durga B Devineni
• Haley R Dezelle

• Chiropractor in Highland Village, TX
• Providers in Highland Village, TX by specialty
• Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2024; 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.