KALEO CHIROPRACTIC CLINIC PLLC
NPI 1053614271
Chiropractor in Tyler, TX
About Kaleo Chiropractic Clinic Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KALEO CHIROPRACTIC CLINIC PLLC (NPI 1053614271) is a healthcare organization registered as a chiropractor in Tyler, Texas and active in the NPI registry since December 2010. The organization lists Joe David Glenn, Chiropractor, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kaleo Chiropractic Clinic Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Kaleo Chiropractic Clinic PLLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Kaleo Chiropractic Clinic PLLC's NPI number?
The NPI number for Kaleo Chiropractic Clinic PLLC is 1053614271. It was assigned to this organization in the NPPES registry on December 9, 2010.
Where is Kaleo Chiropractic Clinic PLLC located?
Kaleo Chiropractic Clinic PLLC is located at 408 S Broadway Ave, Tyler, TX 75702. The listed phone number is (903) 595-5190.
What is Kaleo Chiropractic Clinic PLLC's specialty?
The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.
Is Kaleo Chiropractic Clinic PLLC enrolled in Medicare?
Yes. Kaleo Chiropractic Clinic PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Kaleo Chiropractic Clinic PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Kaleo Chiropractic Clinic PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Kaleo Chiropractic Clinic PLLC was last updated on December 9, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Kaleo Chiropractic Clinic Pllc · NPI 1053614271
Chiropractor organization in Tyler, Texas. Organization record, active in the CMS NPPES registry since December 9, 2010.
## Identity
- **NPI:** 1053614271 (Entity type: Organization)
- **Enumerated:** December 9, 2010
- **Primary specialty:** Chiropractor · taxonomy 111N00000X
- **Organization subpart:** No
- **Authorized official:** Joe Glenn, CHIROPRACTOR
## Practice location
- **Address:** 408 S BROADWAY AVE, Tyler, TX 75702-8101
- **Phone:** (903) 595-5190
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Chiropractic) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 9, 2010
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Source: [NPI Profile](https://npiprofile.com/npi/1053614271) · Data from the CMS NPPES public registry.