Kyle Sumio Hack, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

Practice address

414A Belt Line Rd
Collinsville, IL 62234-4405

Phone

(618) 343-1100

NPI assigned

Jun 18, 2006

Last updated

Mar 19, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Beltline Chiropractic LTD

  • Chiropractor
  • Collinsville, IL
  • NPI 1609811173

  I20060711000238

  Same enrollment

Specialty

Chiropractic

Education

Logan College of Chiropractic, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Beltline Chiropractic LTDGroup PAC ID 0143215368, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Beltline Chiropractic LTD

  • Chiropractor
  • Collinsville, IL
  • NPI 1609811173
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1150588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205884800000",
    "number": "1932144490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "414A BELT LINE RD",
            "city": "COLLINSVILLE",
            "state": "IL",
            "postal_code": "622344405",
            "telephone_number": "618-343-1100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "414A BELT LINE RD",
            "city": "COLLINSVILLE",
            "state": "IL",
            "postal_code": "622344405",
            "telephone_number": "618-343-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HACK",
        "first_name": "KYLE",
        "middle_name": "SUMIO",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-18",
        "last_updated": "2008-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shauna Padgett Gholston, M. ED
• Jeantielle M Gonzalez, M.S. CCC-SLP
• Rachel Gotshall
• Michelle Graham, MSW, LSW
• Megan Lola Griffing, RD
• Alan Hagen, MD
• Laura Nolte Hahn, D.M.D
• Shannon Noelle Hall-Nannini, MSW, LSW
• Amy Hargett, M.S., CCC-SLP
• Cal W Harmon, DMD

• Chiropractor in Collinsville, IL
• Providers in Collinsville, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2008; 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.