KYLE ANDREW KOENKE D.C.
NPI 1497815575
Chiropractor - Sports Physician in Mesa, AZ

Q: What is Kyle Koenke's NPI number?

The NPI number for Kyle Koenke is 1497815575. It was assigned to this individual provider in the NPPES registry on December 11, 2006.

Q: What is Kyle Koenke's specialty?

The primary specialty registered for this NPI is Chiropractor, specializing in Sports Physician, with taxonomy code 111NS0005X.

Q: When was this NPI record last updated?

The NPPES record for Kyle Koenke was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since December 11, 2006Accepts Medicare Assignment

1066 N POWER RD STE 104, MESA, AZ 85205(480) 830-7288(480) 985-7255 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Kyle Andrew Koenke D.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KYLE ANDREW KOENKE D.C. (NPI 1497815575) is an individual sports physician in Mesa, Arizona, licensed in Arizona (7157) and active in the NPI registry since December 2006. He is a graduate of Palmer College Chiropractic - Davenport (2001).

NPPES Registry Identity

NPI1497815575

Entity TypeIndividualMale

Primary Taxonomy111NS0005X

Provider Legal NameKYLE ANDREW KOENKECredential: D.C.

Location Address1066 N POWER RD STE 104Mesa, AZ 85205-5709

Mailing Address1066 N Power Rd Ste 104Mesa, AZ 85205-5709 · (480) 830-7288 · Fax (480) 985-7255

Phone(480) 830-7288

Fax(480) 985-7255

Sole ProprietorNo

Medical School CMSPalmer College Chiropractic - DavenportGraduated 2001

Enumeration DateDecember 11, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1497815575 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractor · Sports PhysicianChiropractic Providers

Taxonomy Code111NS0005X

License✔ Licensed in AZ · 7157

Definition

A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) or the Certified Chiropractic Sports Physician (CCSP), sport specialty certifications from the American Chiropractic Board of Sports Physicians, have advanced training in the assessment, management and rehabilitation of sports related injuries. Extremity care, rehabilitation and soft tissue procedures are common skills utilized by these doctors. The specialty training covers a broad spectrum from the pediatric athlete to professional and Olympic athletes, and everything in between, using a variety of techniques and modalities.

1066 N POWER RD STE 104, Mesa, AZ 85205

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Other Identifiers 4

OtherAZ0943870AZ · Bcbs

Medicare ID-Type Unspecified100481AZ

Medicare UPINU97070AZ

OtherRRP00086254AZ · Rrbcbs

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kyle Andrew Koenke D.c. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8325096183

PECOS Enrollment IDI20050117000457

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Chiropractic manipulative treatment, 3-4 spinal regions 98941

Chiropractic manipulative treatment for 3-4 spinal regions involves a trained professional applying controlled force to specific areas of your spine. This can help alleviate pain, improve physical function, and support your body's natural healing process.

642 services191 patients

Chiropractic manipulative treatment, 1-2 spinal regions 98940

Chiropractic manipulative treatment focuses on adjusting your spine to improve your body's physical function. In this service, a chiropractor applies controlled force to 1-2 spinal regions. This helps to restore mobility and alleviate discomfort in those areas.

57 services24 patients

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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