KYLE MATTHEW WILLIAMS (D.C) – Chiropractor, NPI 1124899653

KYLE MATTHEW WILLIAMS (D.C) is a healthcare provider. based in Battle ground, Washington. specializing in CHIROPRACTIC. They hold the professional credentials D.C. They hold a License No. CH61484920 (WA). The NPI Number for KYLE MATTHEW WILLIAMS (D.C) is 1124899653

Main info

Male
3 Years Of Experience
Accepts Medicare Assignment
Name
KYLE MATTHEW WILLIAMS (D.C)
NPI
1124899653
Phone
(360) 666-6001
Address
105 N PARKWAY AVE
Enumeration Date
12 January 2024
Last Update Date
12 January 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3606666001
Graduation Year
2023 (3 years ago)
PAC ID
0446694822
Group Practice PAC ID
7810973104
Professional Enrollment ID
I20240214001936
Address ID
WA986049129BA105XXAVEX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

1,415 CHIROPRACTIC in WA

Provider Addresses for KYLE MATTHEW WILLIAMS (D.C)

  • 105 N PARKWAY AVE

    BATTLE GROUND, WA 986049129

    Phone: (360) 666-6001

    Fax: (360) 666-6002

    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: 2024-02-14

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
I20240214001936IChiropracticWATBD

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 98604)

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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: 7810973104View full group profile
NameSpecialtyState
C H I R O P R A C T I CWA
C H I R O P R A C T I CWA
C H I R O P R A C T I COR
C H I R O P R A C T I CWA
C H I R O P R A C T I CWA

Reviews

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Frequently asked questions

What is the 10-digit NPI for KYLE MATTHEW WILLIAMS (D.C)?
KYLE MATTHEW WILLIAMS (D.C) — NPI 1124899653 — is the standard way to identify this listing.
Can I rely on KYLE MATTHEW WILLIAMS (D.C) being an active provider?
As of the registry snapshot, KYLE MATTHEW WILLIAMS (D.C) is marked active.
What taxonomy line describes KYLE MATTHEW WILLIAMS (D.C)?
For research purposes, treat KYLE MATTHEW WILLIAMS (D.C) as Chiropractor in this dataset. Clinical services aligned with this taxonomy classification.
Does KYLE MATTHEW WILLIAMS (D.C) list a practice location?
Patients near Battle Ground, Washington may find KYLE MATTHEW WILLIAMS (D.C) in results; validate coverage separately.
Is the information about KYLE MATTHEW WILLIAMS (D.C) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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