Dr. Tyler, Inc.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

30491 Issued in CA

Legal business name

DR. TYLER, INC.

Practice address

3070 Bristol St
Ste 160
Costa Mesa, CA 92626-3077

Phone

(949) 662-1616

Fax

(714) 486-2834

NPI assigned

Apr 13, 2017

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Tyler Houston, D.C.NPI 1417173881

Title

Chiropractor

Phone

(714) 315-5731

Specialties & licenses 1

Addresses

Other names 1

• Core Chiropractic Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tyler Houston, D.C.

  • Chiropractor
  • Costa Mesa, CA
  • NPI 1417173881
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1492041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1530835200000",
    "number": "1003340225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3070 BRISTOL ST",
            "address_2": "STE 160",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926263077",
            "telephone_number": "949-662-1616",
            "fax_number": "714-486-2834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3070 BRISTOL ST",
            "address_2": "STE 160",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926263077",
            "telephone_number": "949-662-1616",
            "fax_number": "714-486-2834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. TYLER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-13",
        "last_updated": "2018-07-06",
        "status": "A",
        "authorized_official_last_name": "HOUSTON",
        "authorized_official_first_name": "TYLER",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "714-315-5731",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "30491",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Core Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Core Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Chiropractor in Costa Mesa, CA
• Providers in Costa Mesa, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.