Kyle Severson, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

6436 Issued in MN

Practice address

224 E Central Entrance Ste C
Duluth, MN 55811-5518

Phone

(218) 481-7330

Fax

(218) 481-7432

NPI assigned

Feb 1, 2018

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 MN

Enrollment records 1

Specialty

Chiropractic

Education

Northwestern College of Chiropractic, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

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 and National Provider Directory roles.

• Wilderness Wellness Chiropractic LLC

  • Chiropractor
  • Duluth, MN
  • NPI 1649778937
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1517443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517443200000",
    "number": "1942708235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 E CENTRAL ENTRANCE STE C",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558115518",
            "telephone_number": "218-481-7330",
            "fax_number": "218-481-7432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "224 E CENTRAL ENTRANCE STE C",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558115518",
            "telephone_number": "218-481-7330",
            "fax_number": "218-481-7432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEVERSON",
        "first_name": "KYLE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-02-01",
        "last_updated": "2018-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "6436",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Senior Friend Associates, Inc.
• Linda Marie Senta
• Sessions Psychotherapy, PLLC
• Brooke Marie Settergren, M.D.
• Kimberly Marie Settergren, RN
• Mia Severson
• Sarah Jean Severson, SLP
• Julie A Lunde Sevick, PSYD
• Christine Sgarlata, CNP
• Benjamin Shabb

• Chiropractor in Duluth, MN
• Providers in Duluth, MN by specialty
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2018; 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.