Individual provider Active NPI

Kyle Travis Nye, D.C.

  • Chiropractor
  • Madison, WI
National Provider Identifier
1790031722
Registry record updated May 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4905 Issued in WI
Practice address
6502 Normandy LN
Madison, WI 53719-1082
Phone
(608) 833-9445
Fax
(608) 833-9447
NPI assigned
Jul 27, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 5499 MN
Chiropractor 111N00000X 4905 WI Primary

Addresses

Primary practice location

6502 Normandy LN
Madison, WI 53719-1082

Mailing address

7836 Mineral Point Rd
Madison, WI 53717-2088
Phone (608) 833-9445

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150812007442 WI Practitioner - Chiropractic 9436464005 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2011
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

6502 Normandy Lane
Madison, WI 53719-1082

6502 Normandy LN
Madison, WI 53719-1082
Phone (608) 833-9445

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4905WIMDChiropractor
5499MNMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
All About Chiropractic Life Principles LLC Chiropractor CurrentSince Jun 29, 2015 Accepting new patients
Patrick C. Andersen, D.C., S.C. Chiropractor PastSince May 28, 2023 Accepting new patients

Locations

7836 Mineral Point Rd
Madison, WI 53717
Phone (608) 833-9445

6502 Normandy Ln
Madison, WI 53719
Phone (608) 833-1282

Organizations & group practices 2

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": "1343347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684713600000",
    "number": "1790031722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7836 MINERAL POINT RD",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537172088",
            "telephone_number": "608-833-9445",
            "fax_number": "608-833-9447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6502 NORMANDY LN",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537191082",
            "telephone_number": "608-833-9445",
            "fax_number": "608-833-9447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NYE",
        "first_name": "KYLE",
        "middle_name": "TRAVIS",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-27",
        "last_updated": "2023-05-22",
        "certification_date": "2023-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "5499",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "4905",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2023; 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.