Active NPI
Tyler Mark Frizzi, DC
- Chiropractor
- Lafayette, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 08003215A
- Practice address
- 1716 Hartford St
Lafayette, IN 47904-2138 - Phone
- (765) 742-1567
- Fax
- (765) 742-2750
- NPI assigned
- Jan 26, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 08003215A | IN | Primary |
Addresses
Primary practice location
1716 Hartford St
Lafayette, IN 47904-2138
Mailing address
1716 Hartford St
Lafayette, IN 47904-2138
Phone (765) 742-1567
Other practice location 1
416 W Camp St
Lebanon, IN 46052-1799
Phone (765) 483-4469
Other practice location 2
2121 S Gopher Dr BLDG
Frankfort, IN 46041-6800
Phone (765) 650-7875
Other practice location 3
2316 South St
Lafayette, IN 47904-2971
Phone (765) 742-1567
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 300050254 | Medicaid | IN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210513001143 | IN | Practitioner - Chiropractic | 6002225588 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 08003215A | IN | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Boone County Community Health Clinic, Inc | Past | Accepting new patients | |
| Riggs Community Health Center Inc | Past | Accepting new patients | |
| Horizon Chiropractic LLC | Past | Accepting new patients |
Organizations & group practices 4
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.
-
- Federally Qualified Health Center (FQHC)
- Lafayette, IN
- NPI 1386660900
IN
-
- Community Health Clinic/Center
- Lebanon, IN
- NPI 1962681734
-
- Clinic/Center
- Monticello, IN
- NPI 1306192695
-
- Federally Qualified Health Center (FQHC)
- Lafayette, IN
- NPI 1386876233
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Logan College of Chiropractic, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Riggs Community Health Center Inc
Practice addresses (Care Compare)
1324 Tippecanoe St
Lafayette, IN 47904-2051
Phone (765) 742-1567
1716 Hartford St
Lafayette, IN 47904-2168
1716 Hartford St
Lafayette, IN 47904-2173
Phone 76574215673041
2316 S St
Lafayette, IN 47904-2971
Phone (765) 742-1567
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1611619200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721865600000",
"number": "1053901892",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1716 HARTFORD ST",
"city": "LAFAYETTE",
"state": "IN",
"postal_code": "479042138",
"telephone_number": "765-742-1567",
"fax_number": "765-742-2750"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1716 HARTFORD ST",
"city": "LAFAYETTE",
"state": "IN",
"postal_code": "479042138",
"telephone_number": "765-742-1567",
"fax_number": "765-742-2750"
}
],
"practiceLocations": [
{
"address_1": "416 W Camp St",
"address_purpose": "LOCATION",
"city": "Lebanon",
"state": "IN",
"postal_code": "460521799",
"country_code": "US",
"telephone_number": "765-483-4469",
"fax_number": "765-483-4495",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2121 S Gopher Dr BLDG",
"address_purpose": "LOCATION",
"city": "Frankfort",
"state": "IN",
"postal_code": "460416800",
"country_code": "US",
"telephone_number": "765-650-7875",
"fax_number": "765-650-7803",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2316 South St",
"address_purpose": "LOCATION",
"city": "Lafayette",
"state": "IN",
"postal_code": "479042971",
"country_code": "US",
"telephone_number": "765-742-1567",
"fax_number": "765-429-2700",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FRIZZI",
"first_name": "TYLER",
"middle_name": "MARK",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-01-26",
"last_updated": "2024-07-25",
"certification_date": "2024-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IN",
"license": "08003215A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "300050254",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lafayette, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2024; 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.