Individual provider Active NPI

Tyler Wolff, DC

  • Chiropractor
  • Virginia Beach, VA
National Provider Identifier
1144184029
Registry record updated Dec 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0104558140 Issued in VA
Practice address
1253 Nimmo Pkwy Ste 110
Virginia Beach, VA 23456-7782
Phone
(757) 918-7761
Fax
(757) 689-3597
NPI assigned
Dec 15, 2025
Last updated
Dec 15, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 0104558140 VA Primary

Addresses

Primary practice location

1253 Nimmo Pkwy Ste 110
Virginia Beach, VA 23456-7782

Mailing address

1253 Nimmo Pkwy Ste 110
Virginia Beach, VA 23456-7782
Phone (757) 918-7761

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260123002369 VA Practitioner - Chiropractic 2961989660 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
National University of Arts and Sciences, Medical Department, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Red Mill Chiropractic LLCGroup PAC ID 5890092308, 5 clinicians

Practice addresses (Care Compare)

1253 Nimmo Pkwy
Suite 110
Virginia Beach, VA 23456-7782
Phone (757) 918-7761

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0104558140VAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Red Mill Chiropractic LLC Chiropractor CurrentSince Jan 12, 2026 Accepting new patients

Locations

1253 Nimmo Pkwy
Ste 110
Virginia Beach, VA 23456
Phone (757) 821-2088

1650 General Booth Blvd
Ste 100A
Virginia Beach, VA 23454
Phone (757) 689-3113

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": "1765756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765756800000",
    "number": "1144184029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1253 NIMMO PKWY STE 110",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234567782",
            "telephone_number": "757-918-7761",
            "fax_number": "757-689-3597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1253 NIMMO PKWY STE 110",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234567782",
            "telephone_number": "757-918-7761",
            "fax_number": "757-689-3597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLFF",
        "first_name": "TYLER",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-12-15",
        "last_updated": "2025-12-15",
        "certification_date": "2025-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104558140",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 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.