Active NPI
Tyler Edward Huffer, DC
- Chiropractor
- Jackson Center, OH
National Provider Identifier
1174228753
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC-05253
- Practice address
- 307 South Main Street
Jackson Center, OH 45334 - Phone
- (937) 596-6000
- Fax
- (937) 596-5109
- NPI assigned
- Apr 3, 2023
- 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 | DC-05253 | OH | Primary |
Addresses
Primary practice location
307 South Main Street
Jackson Center, OH 45334
Mailing address
307 South Main Street
PO Box 647
Jackson Center, OH 45334
Phone (937) 596-6000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Life Chiropractic College, 2023
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
307 S Main St
Jackson Center, OH 45334-5073
Phone (937) 596-6000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC-05253 | OH | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Huffer Chiropractic, Inc. | Chiropractor | Current | Accepting new patients |
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1680480000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1681344000000",
"number": "1174228753",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "307 SOUTH MAIN STREET",
"address_2": "PO BOX 647",
"city": "JACKSON CENTER",
"state": "OH",
"postal_code": "45334",
"telephone_number": "937-596-6000",
"fax_number": "937-596-5109"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "307 SOUTH MAIN STREET",
"city": "JACKSON CENTER",
"state": "OH",
"postal_code": "45334",
"telephone_number": "937-596-6000",
"fax_number": "937-596-5109"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUFFER",
"first_name": "TYLER",
"middle_name": "EDWARD",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-04-03",
"last_updated": "2023-04-13",
"certification_date": "2023-04-13",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "OH",
"license": "DC-05253",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jackson Center, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2023; 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.