Individual provider Active NPI

Kyle Hove, DC

  • Chiropractor
  • Waconia, MN
National Provider Identifier
1922694033
Registry record updated Dec 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
6764 Issued in MN
Practice address
20 W Main St
Waconia, MN 55387-1020
Phone
(952) 442-9876
NPI assigned
Dec 14, 2020
Last updated
Dec 14, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 14, 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 6764 MN Primary

Addresses

Primary practice location

20 W Main St
Waconia, MN 55387-1020

Mailing address

20 W Main St
Waconia, MN 55387-1020
Phone (952) 442-9876

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210428000203 MN Practitioner - Chiropractic 0840608071 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Trillium Chiropractic PLLCGroup PAC ID 0042607178, 2 clinicians

Practice addresses (Care Compare)

13700 Reimer Dr N
Suite 250
Maple Grove, MN 55311-4581
Phone (763) 420-2226

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Trillium Chiropractic & Wellness PA Chiropractor CurrentSince Oct 22, 2023 Accepting new patients
Neubauer Chiropractic Health Center, PA Chiropractor PastSince Dec 16, 2020 Accepting new patients

Locations

13700 Reimer Dr N
Ste 250
Maple Grove, MN 55311
Phone (763) 420-2226

Organizations & group practices 4

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": "1607904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607904000000",
    "number": "1922694033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 W MAIN ST",
            "city": "WACONIA",
            "state": "MN",
            "postal_code": "553871020",
            "telephone_number": "952-442-9876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 W MAIN ST",
            "city": "WACONIA",
            "state": "MN",
            "postal_code": "553871020",
            "telephone_number": "952-442-9876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOVE",
        "first_name": "KYLE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-12-14",
        "last_updated": "2020-12-14",
        "certification_date": "2020-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "6764",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waconia, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 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.