DR. KYLE CLEVELAND BERRY (DC) – Chiropractor, NPI 1811888688

DR. KYLE CLEVELAND BERRY (DC) is a healthcare provider. based in Boise, Idaho. specializing in CHIROPRACTIC. They hold the professional credentials DC. They hold a License No. 8861778 (ID). The NPI Number for DR. KYLE CLEVELAND BERRY (DC) is 1811888688

Main info

Male
Sole Proprietor
1 Year Of Experience
Name
DR. KYLE CLEVELAND BERRY (DC)
NPI
1811888688
Phone
(303) 718-9683
Address
911 N 16TH ST
Enumeration Date
10 July 2025
Last Update Date
10 July 2025

Doctor Profile

Medical School Name
LIFE CHIROPRACTIC COLLEGE - WEST
Secondary Phone
2088303034
Graduation Year
2025 (1 year ago)
PAC ID
7911406103
Group Practice PAC ID
6800847799
Professional Enrollment ID
I20250815000717
Address ID
ID837092601BO8631XSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience24
Completeness85
Years active:0State licenses:1Digital endpointsOther names

344 CHIROPRACTIC in ID

Provider Addresses for DR. KYLE CLEVELAND BERRY (DC)

  • 911 N 16TH ST

    BOISE, ID 837024010

    Phone: (303) 718-9683

    Type: Mailing

  • 8631 W ARDENE ST

    BOISE, ID 837092601

    Phone: (208) 629-1904

    Type: Location

  • 206 S Midland Blvd

    Nampa, ID 836862602

    Phone: (208) 467-1975

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-08-15

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250815000717IChiropracticIDTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 83702)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6800847799View full group profile
NameSpecialtyState
C H I R O P R A C T I CCA
C H I R O P R A C T I CID
C H I R O P R A C T I CID

Reviews

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Frequently asked questions

Can I use this page to confirm DR. KYLE CLEVELAND BERRY (DC)'s NPI?
Yes. DR. KYLE CLEVELAND BERRY (DC) is listed with NPI 1811888688 in the public NPI dataset.
Is DR. KYLE CLEVELAND BERRY (DC) still practicing?
DR. KYLE CLEVELAND BERRY (DC) is currently listed as active in the public NPI registry.
What is DR. KYLE CLEVELAND BERRY (DC) best known for clinically?
Directory data describes DR. KYLE CLEVELAND BERRY (DC) with Chiropractor. Clinical services aligned with this taxonomy classification.
Does DR. KYLE CLEVELAND BERRY (DC) list a practice location?
Patients near Boise, Idaho may find DR. KYLE CLEVELAND BERRY (DC) in results; validate coverage separately.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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