KYRA ARIEL DAUGHERTY (DC) – Chiropractor, NPI 1902314917

KYRA ARIEL DAUGHERTY (DC) is a healthcare provider. based in Chanhassen, Minnesota. specializing in CHIROPRACTIC. They hold the professional credentials DC. They hold a License No. 6460 (MN). The NPI Number for KYRA ARIEL DAUGHERTY (DC) is 1902314917

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
KYRA ARIEL DAUGHERTY (DC)
NPI
1902314917
Phone
(952) 934-1772
Address
470 W 78TH ST STE 100
Enumeration Date
12 January 2018
Last Update Date
12 January 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9529341772
Graduation Year
2017 (9 years ago)
PAC ID
7618239807
Group Practice PAC ID
6608015888
Professional Enrollment ID
I20180328001985
Address ID
MN553174525CH470XXSTXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:8State licenses:1Digital endpointsOther names

1,642 CHIROPRACTIC in MN

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Provider Addresses for KYRA ARIEL DAUGHERTY (DC)

  • West 78th Street, Chanhassen, Carver County, Minnesota, 55317, United States

    CHANHASSEN, MN 553174525

    Phone: (952) 934-1772

    Fax: (952) 934-3114

    Mailing address matches the actual address.

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: 2018-03-28

PECOS data refreshed: 2026-05-27

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
I20180328001985IChiropracticMNTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
98941Chiropractic manipulative treatment, 3-4 spinal regions10117$0
View full utilization report →

Insurance plans in this area (ZIP 55317)

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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: 6608015888View full group profile
NameSpecialtyState
C H I R O P R A C T I CMN
C H I R O P R A C T I CMN

Reviews

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Frequently asked questions

What NPI should I save for KYRA ARIEL DAUGHERTY (DC)?
Save NPI 1902314917 if you need a stable reference for KYRA ARIEL DAUGHERTY (DC).
Does this profile mean KYRA ARIEL DAUGHERTY (DC) is currently active?
Yes — KYRA ARIEL DAUGHERTY (DC) appears active in the national provider directory.
What field does KYRA ARIEL DAUGHERTY (DC) work in?
You can think of KYRA ARIEL DAUGHERTY (DC) as practicing within Chiropractor. Clinical services aligned with this taxonomy classification.
Where does public data place KYRA ARIEL DAUGHERTY (DC)?
The snapshot lists Chanhassen, Minnesota for KYRA ARIEL DAUGHERTY (DC); download NPPES for the complete set.
What if Chanhassen, Minnesota seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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