Tyler Tollstrup, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

12560 Issued in CA

Practice address

560 Masonic Way
Belmont, CA 94002-2703

Phone

(650) 598-0200

Fax

(650) 598-9165

NPI assigned

Sep 22, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321574400000",
    "number": "1053411801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "560 MASONIC WAY",
            "city": "BELMONT",
            "state": "CA",
            "postal_code": "940022703",
            "telephone_number": "650-598-0200",
            "fax_number": "650-598-9165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "560 MASONIC WAY",
            "city": "BELMONT",
            "state": "CA",
            "postal_code": "940022703",
            "telephone_number": "650-598-0200",
            "fax_number": "650-598-9165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOLLSTRUP",
        "first_name": "TYLER",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-22",
        "last_updated": "2011-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "12560",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Belmont, CA
• Providers in Belmont, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.