Individual provider Active NPI

Kyle B Pepple, D.C.

  • Chiropractor
  • Cumming, GA
National Provider Identifier
1821075896
Registry record updated May 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIR006074 Issued in GA
Practice address
5830 Clarion St
Suite 101
Cumming, GA 30040-0380
Phone
(678) 947-4449
Fax
(678) 455-3655
NPI assigned
Dec 29, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 30, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHIR006074 GA Primary

Addresses

Primary practice location

5830 Clarion St
Suite 101
Cumming, GA 30040-0380

Mailing address

5830 Clarion St
Suite 101
Cumming, GA 30040-0380
Phone (678) 947-4449

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

State licenses

LicenseStateTypeSpecialty
CHIR006074GAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
South Forsyth Family Medicine and Pediatrics LLC Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HACFCD

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": "1135814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401408000000",
    "number": "1821075896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5830 CLARION ST",
            "address_2": "SUITE 101",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300400380",
            "telephone_number": "678-947-4449",
            "fax_number": "678-455-3655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5830 CLARION ST",
            "address_2": "SUITE 101",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300400380",
            "telephone_number": "678-947-4449",
            "fax_number": "678-455-3655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEPPLE",
        "first_name": "KYLE",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-29",
        "last_updated": "2014-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR006074",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cumming, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2014; 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.