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: August 02, 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
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

Secondary Practice Location 1

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

Medicare Participation & PECOS CMS

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

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

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.

Chiropractor
8631 W ARDENE ST
BOISE, ID 83709
Chiropractor
8631 W ARDENE ST
BOISE, ID 83709
Chiropractor
8631 W ARDENE ST
BOISE, ID 83709
Chiropractor
8631 W ARDENE ST
BOISE, ID 83709
Chiropractor
8631 W ARDENE ST
BOISE, ID 83709
Massage Therapist
8631 W ARDENE ST
BOISE, ID 83709

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.

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 12 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.