Individual provider Active NPI

Tyler Leopardi, D.C., M.S.

  • Chiropractor
  • Saint Cloud, FL
National Provider Identifier
1083153217
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH12053 Issued in FL
Practice address
1933 S Narcoossee Rd
Saint Cloud, FL 34771-7211
Phone
(321) 430-3820
NPI assigned
Feb 21, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH12053 FL Primary

Addresses

Primary practice location

1933 S Narcoossee Rd
Saint Cloud, FL 34771-7211

Mailing address

1933 S Narcoossee Rd
Saint Cloud, FL 34771-7211
Phone (321) 430-3820

Other practice location 1

3131 Garden Ct
Saint Cloud, FL 34769-6304
Phone (321) 430-3820

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180227002042 FL Practitioner - Chiropractic 9234490608 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1933 S Narcoossee Rd
Saint Cloud, FL 34771-7211
Phone (321) 430-3820

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
CH12053FLMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Avenue One Chiropractic LLC Chiropractor CurrentSince Sep 20, 2017 Accepting new patients

Locations

1933 S Narcoossee Rd
Saint Cloud, FL 34771
Phone (321) 430-3820

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1487635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1083153217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1933 S NARCOOSSEE RD",
            "city": "SAINT CLOUD",
            "state": "FL",
            "postal_code": "347717211",
            "telephone_number": "321-430-3820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1933 S NARCOOSSEE RD",
            "city": "SAINT CLOUD",
            "state": "FL",
            "postal_code": "347717211",
            "telephone_number": "321-430-3820"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3131 Garden Ct",
            "address_purpose": "LOCATION",
            "city": "Saint Cloud",
            "state": "FL",
            "postal_code": "347696304",
            "country_code": "US",
            "telephone_number": "321-430-3820",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEOPARDI",
        "first_name": "TYLER",
        "name_prefix": "Dr.",
        "credential": "D.C., M.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-02-21",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH12053",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Cloud, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.