Individual provider Active NPI

Tyler Patrick Goza, DC

  • Independent Medical Examiner Chiropractor
  • Wichita, KS
National Provider Identifier
1053097188
Registry record updated May 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Independent Medical Examiner ChiropractorTaxonomy code 111NI0013X
License
01-06019 Issued in KS
Practice address
5800 W Central Ave
Wichita, KS 67212-2840
Phone
(316) 295-3730
Fax
(316) 295-3728
NPI assigned
Jun 23, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 28, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Independent Medical Examiner Chiropractor 111NI0013X 01-06019 KS Primary

Addresses

Primary practice location

5800 W Central Ave
Wichita, KS 67212-2840

Mailing address

5800 W Central Ave
Wichita, KS 67212-2840
Phone (316) 619-1895

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230920002041 KS Practitioner - Chiropractic 5193179406 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College - West, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Goza Chiropractic LLCGroup PAC ID 4284088592, 2 clinicians

Practice addresses (Care Compare)

5800 W Central Ave
Wichita, KS 67212-2840
Phone (316) 295-3730

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
01-06019KSMDIndependent Medical Examiner Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Goza Chiropractic LLC CurrentSince Oct 1, 2023 Accepting new patients
Dodson Chiropractic PastSince Jun 1, 2023 Accepting new patients

Locations

5800 W Central Ave
Wichita, KS 67212
Phone (316) 295-3730

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1687478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748390400000",
    "number": "1053097188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5800 W CENTRAL AVE",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672122840",
            "telephone_number": "316-619-1895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5800 W CENTRAL AVE",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672122840",
            "telephone_number": "316-295-3730",
            "fax_number": "316-295-3728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOZA",
        "first_name": "TYLER",
        "middle_name": "PATRICK",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-06-23",
        "last_updated": "2025-05-28",
        "certification_date": "2025-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NI0013X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Independent Medical Examiner",
            "state": "KS",
            "license": "01-06019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.