KYLE MATTHEW TIEFEL D.C.
NPI 1861751166
Chiropractor in Fenton, MO

Active since May 08, 2012
1525 BOWLES AVE STE C, FENTON, MO 63026(636) 343-5500(636) 343-5506 Get Directions Write a Review

NPPES record last updated: May 8, 2012. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Kyle Matthew Tiefel D.c. NPPES

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

KYLE MATTHEW TIEFEL D.C. (NPI 1861751166) is an individual chiropractor in Fenton, Missouri, licensed in Missouri (2012013166) and active in the NPI registry since May 2012.

NPPES Registry Identity

NPI1861751166
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameKYLE MATTHEW TIEFELCredential: D.C.
Location Address1525 BOWLES AVE STE CFenton, MO 63026-2310
Mailing Address1525 Bowles Ave Ste CFenton, MO 63026-2310 · (636) 343-5500 · Fax (636) 343-5506
Fax(636) 343-5506
Sole ProprietorNo
Enumeration DateMay 8, 2012
✔ NPI 1861751166 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in MO · 2012013166
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.
1525 BOWLES AVE STE C, Fenton, MO 63026

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kyle Matthew Tiefel D.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

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

Sports Medicine
220 LAKEVIEW DR
Noblesville, IN 46060
  • Reassigned Medicare billing, Indiana enrollment
  • 5 clinicians in this Medicare group

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

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

Chiropractor
1525 BOWLES AVE STE C
FENTON, MO 63026

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 Tiefel's NPI number?

The NPI number for Kyle Tiefel is 1861751166. It was assigned to this individual provider in the NPPES registry on May 8, 2012.

Where is Kyle Tiefel located?

Kyle Tiefel practices at 1525 Bowles Ave Ste C, Fenton, MO 63026. The listed phone number is (636) 343-5500.

What is Kyle Tiefel's specialty?

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

Is Kyle Tiefel enrolled in Medicare?

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

Which organization bills Medicare for Kyle Tiefel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kyle Tiefel reassigns Medicare benefits to Hamilton County Chiropractic (Noblesville, IN). 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 Tiefel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kyle Tiefel accept?

Health plans from Anthem Blue Cross and Blue Shield and UnitedHealthcare list Kyle Tiefel 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 Tiefel was last updated on May 8, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.