Tyler James Allison, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH00033928 Issued in WA

Practice address

301 Croft Ave
Gold Bar, WA 98251

Phone

(360) 793-0904

Fax

(360) 799-0923

NPI assigned

Aug 10, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Specialty

Chiropractic

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Gold Bar Chiropractic P LLCGroup PAC ID 4486714086, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Gold Bar Chiropractic P.L.L.C

  • Chiropractor
  • Monroe, WA
  • NPI 1538170097
  Medicare reassignment Care Compare group Authorized official

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533772800000",
    "number": "1184635641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 175",
            "city": "GOLD BAR",
            "state": "WA",
            "postal_code": "982510175",
            "telephone_number": "360-793-0904",
            "fax_number": "360-799-0923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 CROFT AVE",
            "city": "GOLD BAR",
            "state": "WA",
            "postal_code": "98251",
            "telephone_number": "360-793-0904",
            "fax_number": "360-799-0923"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "211 W. Hill Street",
            "address_purpose": "LOCATION",
            "city": "Monroe",
            "state": "WA",
            "postal_code": "98272",
            "country_code": "US",
            "telephone_number": "360-793-0904",
            "fax_number": "360-799-0923",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALLISON",
        "first_name": "TYLER",
        "middle_name": "JAMES",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-10",
        "last_updated": "2018-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00033928",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT. OF L&I",
            "identifier": "167260",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE BLUE SHIELD",
            "identifier": "4234AL",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Crystal Ando, LMP
• Carebridge Informatics & Home Health Services, LLC
• Eric Drazich, D.C.
• Aren Fitzpatrick
• Christopher Steven Graham

• Chiropractor in Gold Bar, WA
• Providers in Gold Bar, WA by specialty
• Chiropractor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2018; 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.