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DR. KYLE CLEVELAND BERRY DC
NPI 1811888688
Chiropractor in Boise, ID

Active since July 10, 2025
8631 W ARDENE ST, BOISE, ID 83709(208) 629-1904 Get Directions Write a Review

NPPES record last updated: July 10, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Kyle Cleveland Berry Dc NPPES

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

DR. KYLE CLEVELAND BERRY DC (NPI 1811888688) is an individual chiropractor in Boise, Idaho, licensed in Idaho (8861778) and active in the NPI registry since July 2025. He maintains a secondary practice location in Nampa and is a graduate of Life Chiropractic College - West (2025).

NPPES Registry Identity

NPI1811888688
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. KYLE CLEVELAND BERRYCredential: DC
Location Address8631 W ARDENE STBoise, ID 83709-2601
Mailing Address911 N 16th StBoise, ID 83702-4010 · (303) 718-9683
Phone(208) 629-1904
Sole ProprietorYes
Medical School CMSLife Chiropractic College - WestGraduated 2025
Enumeration DateJuly 10, 2025
NPPES CertifiedJune 18, 2025
✔ NPI 1811888688 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in ID · 8861778
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
8631 W ARDENE ST, Boise, ID 83709
Open in Google Maps ↗

Secondary Practice Location 1

Location 1206 S Midland BlvdNampa, ID 83686-2602 · Phone (208) 467-1975

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., PacificSource Health Plans, Select Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kyle Cleveland Berry Dc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7911406103
PECOS Enrollment IDI20250815000717

Medicare Billing Reassignment

Medicare enrollment records show Kyle Berry reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Ideal Health
  • Reassigned Medicare billing, Idaho enrollment
  • 5 clinicians in this Medicare group
No phone listed

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 6

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

DR. EDWARD REZA JR. D.C.
Chiropractor
8631 W ARDENE ST
BOISE, ID 83709
Ada County (208) 629-1904
ANAIS ORTEGA QUINONES DC
Chiropractor
8631 W ARDENE ST
BOISE, ID 83709
Ada County (208) 629-1904
MEAGAN K SCHNURR
Chiropractor
8631 W ARDENE ST
BOISE, ID 83709
Ada County (208) 629-1904
ZYRAH GIUSTRA DC
Chiropractor
8631 W ARDENE ST
BOISE, ID 83709
Ada County (208) 629-1904
DR. JOSEPH WILLIAM BETZ DC
Chiropractor
8631 W ARDENE ST
BOISE, ID 83709
Ada County (208) 629-1904
ANTHONY BAUTISTA LMT, CPT, CES
Massage Therapist
8631 W ARDENE ST
BOISE, ID 83709
Ada County (208) 629-1904

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 Kyle Berry's NPI number?

The NPI number for Kyle Berry is 1811888688. It was assigned to this individual provider in the NPPES registry on July 10, 2025.

Where is Kyle Berry located?

Kyle Berry practices at 8631 W Ardene St, Boise, ID 83709. The listed phone number is (208) 629-1904.

What is Kyle Berry's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Kyle Berry enrolled in Medicare?

Yes. Kyle Berry is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kyle Berry's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kyle Berry reassigns Medicare benefits to Ideal Health (ID). The 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 Kyle Berry's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kyle Berry accept?

Health plans from Moda Health Plan, Inc., PacificSource Health Plans and Select Health list Kyle Berry as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kyle Berry was last updated on July 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.