Active NPI
Kyle Alderson Roesler, D.C.
- Chiropractor
- Olivette, MO
National Provider Identifier
1801167192
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2012000065
- Practice address
- 9449 Olive Blvd
Olivette, MO 63132-3130 - Phone
- (314) 432-2220
- Fax
- (314) 432-8161
- NPI assigned
- Jan 19, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2012000065 | MO | Primary |
Addresses
Primary practice location
9449 Olive Blvd
Olivette, MO 63132-3130
Mailing address
9449 Olive Blvd
Olivette, MO 63132-3130
Phone (314) 432-2220
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Logan College of Chiropractic, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
9449 Olive Blvd
Olivette, MO 63132-3130
Phone (314) 432-2220
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Back & Neck Care Center of North County LLC | Chiropractor | Past | Accepting new patients |
| Sevenhills Chiropractic Center PC | Chiropractor | Past | Accepting new patients |
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.
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- NPI 1700260254
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- Chiropractor
- Florissant, MO
- NPI 1821196056
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1326931200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1425427200000",
"number": "1801167192",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9449 OLIVE BLVD",
"city": "OLIVETTE",
"state": "MO",
"postal_code": "631323130",
"telephone_number": "314-432-2220",
"fax_number": "314-432-8161"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9449 OLIVE BLVD",
"city": "OLIVETTE",
"state": "MO",
"postal_code": "631323130",
"telephone_number": "314-432-2220",
"fax_number": "314-432-8161"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROESLER",
"first_name": "KYLE",
"middle_name": "ALDERSON",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-01-19",
"last_updated": "2015-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MO",
"license": "2012000065",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Olivette, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2015; 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.