Tyler Gress, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

08003084A Issued in IN

Practice address

1928 45TH St
Munster, IN 46321-3917

Phone

(219) 476-7246

NPI assigned

Dec 20, 2018

Last updated

Feb 13, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IN, IL2 enrollments

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Kauffman Chiropractic

  • Chiropractor
  • Crown Point, IN
  • NPI 1114149366
  Medicare reassignment NPD
• West 84TH Drive Chiropractic PC

  • Chiropractor
  • Merrillville, IN
  • NPI 1477118818
  Medicare reassignment NPD
• Premise Health of Illinois Medical PC

  dba Mount Vernon Health Center Mt Vernon

  • Primary Care Clinic/Center
  • Mount Vernon, IL
  • NPI 1427366921
  Medicare reassignment NPD
• Kauffman Chiropractic

  • Chiropractor
  • Merrillville, IN
  • NPI 1538381793
  NPD
• Premise Health of Illinois Medical PC

  dba MCL Health Center - Utica

  • Multi-Specialty Clinic/Center
  • Utica, IL
  • NPI 1295518868
  NPD

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

{
    "created_epoch": "1545264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550016000000",
    "number": "1154893717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 LEGACY PLZ W",
            "city": "LA PORTE",
            "state": "IN",
            "postal_code": "463505285",
            "telephone_number": "219-476-7246",
            "fax_number": "219-476-1713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1928 45TH ST",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "463213917",
            "telephone_number": "219-476-7246"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "204 Legacy Plz W",
            "address_purpose": "LOCATION",
            "city": "LA Porte",
            "state": "IN",
            "postal_code": "463505285",
            "country_code": "US",
            "telephone_number": "219-476-7246",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "855 Maple Ave",
            "address_purpose": "LOCATION",
            "city": "Homewood",
            "state": "IL",
            "postal_code": "604302031",
            "country_code": "US",
            "telephone_number": "708-305-0034",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRESS",
        "first_name": "TYLER",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-12-20",
        "last_updated": "2019-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038.013292",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08003084A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Great Lakes Surgical Suites, LLC (Great Lakes Surgical Suites)
• Alecia Green, FNP-BC
• Mitchell Wayne Green, D.C.
• Sierra N Green, PMHNP-BC
• Catherine Elizabeth Gregori
• Mark Allen Grevious, M.D.
• Griffin Broadmoor Pharmacy Inc (Broadmoor Pharmacy)
• Eric Griffin, PTA
• Terisha Griffin
• Anthony Eamon Grippo, MD

• Chiropractor in Munster, IN
• Providers in Munster, IN by specialty
• Chiropractor in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.