Active NPI
Kyle Blake Maddox, D.C.
- Chiropractor
- Madison, AL
National Provider Identifier
1952484735
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1403
- Practice address
- 8760 Madison Blvd
Suite M
Madison, AL 35758-2038 - Phone
- (256) 464-0020
- Fax
- (256) 464-0021
- NPI assigned
- Oct 23, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 1403 | AL | Primary |
Addresses
Primary practice location
8760 Madison Blvd
Suite M
Madison, AL 35758-2038
Mailing address
8760 Madison Blvd
Suite M
Madison, AL 35758-2038
Phone (256) 464-0020
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110225000490 | AL | Practitioner - Chiropractic | 2567643489 | Practice locations: Madison, AL |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Life Chiropractic College, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
8760 Madison Blvd M
Madison, AL 35758-1888
Phone (256) 464-0020
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1403 | AL | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161561600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1952484735",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8760 MADISON BLVD",
"address_2": "SUITE M",
"city": "MADISON",
"state": "AL",
"postal_code": "357582038",
"telephone_number": "256-464-0020",
"fax_number": "256-464-0021"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8760 MADISON BLVD",
"address_2": "SUITE M",
"city": "MADISON",
"state": "AL",
"postal_code": "357582038",
"telephone_number": "256-464-0020",
"fax_number": "256-464-0021"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MADDOX",
"first_name": "KYLE",
"middle_name": "BLAKE",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "AL",
"license": "1403",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Madison, AL
- Susie Warren Lynn, M.D.
- Lystra Physical Therapy and Wellness, LLC
- Krystal Lytle, MSOTR/L, CHT
- Hannah Winningham Mabrey
- Makayla Macilveen, M.S., CCC-SLP
- Madison Acupuncture Wellness LLC
- Madison Behavioral Diagnostic and Treatment Services
- Madison Chiropractic & Nutrition Center, LLC
- Madison City
- Madison Dental Associates LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.