Organization Active NPI

KKR Holdings LTD

Doing business as Dr Kyle Reynolds DC

  • Clinic/Center
  • Fort Collins, CO
National Provider Identifier
1912425349
Registry record updated Sep 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
KKR HOLDINGS LTD
Doing business as
Dr Kyle Reynolds DC
Practice address
2032 Lowe St Unit 102
Fort Collins, CO 80525-5743
Phone
(970) 377-1810
NPI assigned
Sep 6, 2017
Last updated
Sep 6, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2017

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

Authorized official

Name
Dr. Kyle Reynolds, DCNPI 1952829384
Title
Chiropractor
Phone
(719) 339-6767

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X NU Primary

Addresses

Primary practice location

2032 Lowe St Unit 102
Fort Collins, CO 80525-5743

Mailing address

2032 Lowe St Unit 102
Fort Collins, CO 80525-5743

Other names 1

  • Dr Kyle Reynolds DC Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171102001816 CO Part B Supplier - Clinic/Group Practice 5193081446 Receives reassigned benefits from 2 practitioners
Practice locations: Fort Collins, CO

National Provider Directory

National Provider Directory

Locations

2032 Lowe St
Unit 102
Fort Collins, CO 80525
Phone (970) 377-1810

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1504656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1504656000000",
    "number": "1912425349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2032 LOWE ST UNIT 102",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805255743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2032 LOWE ST UNIT 102",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805255743",
            "telephone_number": "970-377-1810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KKR HOLDINGS LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-06",
        "last_updated": "2017-09-06",
        "status": "A",
        "authorized_official_last_name": "REYNOLDS",
        "authorized_official_first_name": "KYLE",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "719-339-6767",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr Kyle Reynolds DC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Collins, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.