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Dr. Kyle Gordon , DC

Chiropractor β€’ South Jordan, UT

Active NPI 1407476849 Individual Practitioner Male Practitioner
Practice location in NPPES

891 W Baxter Dr
South Jordan, UT 840958506

Call 5092703687 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

891 W Baxter Dr

South Jordan, UT 840958506

Telephone 5092703687
Organization at the Same NPPES Address or Phone
Revive Health And Chiropractic Inc Facility NPI 1336730217

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2019–2025.

Guide: How to read an Open Payments record

NPI first issued

2020

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in South Jordan and Utah

36 active clinicians are listed under Chiropractor with a practice address in South Jordan, UT (901 in Utah).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in South Jordan

0% of these 36 clinicians have the CMS telehealth indicator.

19.4% of these 36 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2020-08-18
Chiropractor Primary Specialty

NUCC Taxonomy Code: 111N00000X

License # reported to NPPES UT 11726657-1202

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Utah Division of Professional Licensing.
Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
πŸ“
Updated Practice Location August 18, 2020

Registered at 891 W BAXTER DR, SOUTH JORDAN, UT 840958506 (Tel: 5092703687)

πŸ“
Updated Business Mailing Address August 18, 2020

Registered at 891 W BAXTER DR, SOUTH JORDAN, UT 840958506 (Tel: 5092703687)

βœ…
NPI Profile Active April 24, 2020

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) April 24, 2020

Registered at 5464 W 10030 N, HIGHLAND, UT 840039170 (Tel: 5092703687)

πŸ“
Business Mailing Address (Initial Record) April 24, 2020

Registered at 5464 W 10030 N, HIGHLAND, UT 840039170 (Tel: 5092703687)

πŸ‘€
Provider Name / Credentials (Initial Record) April 24, 2020

Recorded as KYLE GORDON, DC

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) April 24, 2020

Chiropractor (license number reported to NPPES: UT 11726657-1202)

🟒
Initial NPI Registration & Enumeration April 24, 2020

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1407476849
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 24, 2020
Last Update: August 18, 2020
Sole Proprietor: No

Other Chiropractors in South Jordan

All Chiropractors in South Jordan

Mailing Address

891 W Baxter Dr

South Jordan, UT 840958506

Phone: 5092703687

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.