Organization Active NPI

Terry Tyler MD PC

  • Neurology Physician
  • Durango, CO
National Provider Identifier
1073697314
Registry record updated Feb 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
31498 Issued in CO
Legal business name
TERRY TYLER MD PC
Practice address
2243 Main Ave
Suite 3a
Durango, CO 81301-4699
Phone
(970) 375-6224
Fax
(970) 259-2341
NPI assigned
Oct 24, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2008

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

Authorized official

Name
Dr. Terry Tyler, MD
Title
President
Phone
(970) 375-6224

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X 31498 CO Primary

Addresses

Primary practice location

2243 Main Ave
Suite 3a
Durango, CO 81301-4699

Mailing address

2243 Main Ave
Suite 3a
Durango, CO 81301-4699
Phone (970) 375-6224

National Provider Directory

National Provider Directory

Locations

2243 Main Ave
Ste 3A
Durango, CO 81301
Phone (970) 375-6224

NPI Registry JSON

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201824000000",
    "number": "1073697314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2243 MAIN AVE",
            "address_2": "SUITE 3A",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813014699",
            "telephone_number": "970-375-6224",
            "fax_number": "970-259-2341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2243 MAIN AVE",
            "address_2": "SUITE 3A",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813014699",
            "telephone_number": "970-375-6224",
            "fax_number": "970-259-2341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TERRY TYLER MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-24",
        "last_updated": "2008-02-01",
        "status": "A",
        "authorized_official_last_name": "TYLER",
        "authorized_official_first_name": "TERRY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "970-375-6224",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CO",
            "license": "31498",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durango, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2008; 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.