Individual provider Active NPI

Kyle Brent Babcock, DC

  • Chiropractor
  • Oklahoma City, OK
National Provider Identifier
1790315547
Registry record updated Jan 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4352 Issued in OK
Practice address
4900 Richmond SQ Ste 108
Oklahoma City, OK 73118-2043
Phone
(405) 525-7549
NPI assigned
Jan 21, 2020
Last updated
Jan 21, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 21, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4352 OK Primary

Addresses

Primary practice location

4900 Richmond SQ Ste 108
Oklahoma City, OK 73118-2043

Mailing address

4900 Richmond SQ Ste 108
Oklahoma City, OK 73118-2043
Phone (405) 525-7549

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200414003957 OK Practitioner - Chiropractic 9638509631 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2019
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

4900 Richmond SQ
Suite 108
Oklahoma City, OK 73118-2043
Phone (405) 525-7549

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4352OKMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Babcock Chiropractic Enterprises LLC Chiropractor CurrentSince Jan 1, 2025 Accepting new patients
Babcock Enterprises, LLC Chiropractor CurrentSince Apr 1, 2020 Accepting new patients

Locations

4900 Richmond Sq
Ste 108
Oklahoma City, OK 73118
Phone (405) 525-7549

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1579564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579564800000",
    "number": "1790315547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4900 RICHMOND SQ STE 108",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731182043",
            "telephone_number": "405-525-7549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4900 RICHMOND SQ STE 108",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731182043",
            "telephone_number": "405-525-7549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BABCOCK",
        "first_name": "KYLE",
        "middle_name": "BRENT",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-01-21",
        "last_updated": "2020-01-21",
        "certification_date": "2020-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OK",
            "license": "4352",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2020; 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.