Individual provider Active NPI

Kyle Andrew Mayfield, DC

  • Chiropractor
  • Shreveport, LA
National Provider Identifier
1760127740
Registry record updated Feb 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1950 Issued in LA
Practice address
2219 Line Ave
Shreveport, LA 71104-2128
Phone
(318) 828-1517
Fax
(318) 828-1685
NPI assigned
May 3, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1950 LA Primary

Addresses

Primary practice location

2219 Line Ave
Shreveport, LA 71104-2128

Mailing address

2219 Line Ave
Shreveport, LA 71104-2128
Phone (318) 828-1517

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220811000259 LA Practitioner - Chiropractic 6002299880 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - West Sunnyvale, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mayfield-Bacon Auto Accident and Injury Clinic LLCGroup PAC ID 3274065388, 2 clinicians

Practice addresses (Care Compare)

2405 Line Ave
Shreveport, LA 71104-3019
Phone (318) 828-1517

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1950LAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Mayfield-Bacon Auto Accident & Injury Clinic LLC Chiropractor CurrentSince Sep 6, 2024 Accepting new patients
Atlas Integrative Medicine, LLC Current Accepting new patients

Locations

2405 Line Ave
Shreveport, LA 71104
Phone (318) 828-1517

2219 Line Ave
Shreveport, LA 71104
Phone (318) 681-4471

Organizations & group practices 3

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": "1651536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739577600000",
    "number": "1760127740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2219 LINE AVE",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711042128",
            "telephone_number": "318-828-1517",
            "fax_number": "318-828-1685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2219 LINE AVE",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711042128",
            "telephone_number": "318-828-1517",
            "fax_number": "318-828-1685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAYFIELD",
        "first_name": "KYLE",
        "middle_name": "ANDREW",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-05-03",
        "last_updated": "2025-02-15",
        "certification_date": "2025-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "LA",
            "license": "1950",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shreveport, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2025; 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.