Individual provider Active NPI

Kyle Robert Hodge, DC, ATC

  • Chiropractor
  • Valparaiso, IN
National Provider Identifier
1760134118
Registry record updated Jul 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
08003277A Issued in IN
Practice address
15 Franklin St Ste 120B
Valparaiso, IN 46383-4877
Phone
(219) 351-0808
NPI assigned
Jan 26, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 08003277A IN Primary

Addresses

Primary practice location

15 Franklin St Ste 120B
Valparaiso, IN 46383-4877

Mailing address

1326 S Holmesville Rd
La Porte, IN 46350-9647
Phone (219) 252-1029

Other practice location 1

1052 Marsh St Ste E
Valparaiso, IN 46385-6272
Phone (219) 548-4404

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)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Chiropractic Concepts Inc Chiropractor CurrentSince Feb 1, 2022 Accepting new patients

Locations

1052 Marsh St
Ste E
Valparaiso, IN 46385
Phone (219) 548-4404

Organizations & group practices 1

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": "1643155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656720000000",
    "number": "1760134118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1326 S HOLMESVILLE RD",
            "city": "LA PORTE",
            "state": "IN",
            "postal_code": "463509647",
            "telephone_number": "219-252-1029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 FRANKLIN ST STE 120B",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463834877",
            "telephone_number": "219-351-0808"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1052 Marsh St Ste E",
            "address_purpose": "LOCATION",
            "city": "Valparaiso",
            "state": "IN",
            "postal_code": "463856272",
            "country_code": "US",
            "telephone_number": "219-548-4404",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HODGE",
        "first_name": "KYLE",
        "middle_name": "ROBERT",
        "credential": "DC, ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-01-26",
        "last_updated": "2022-07-02",
        "certification_date": "2022-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08003277A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valparaiso, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2022; 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.