Individual provider Active NPI

Andrew Tilka, D.C.

  • Chiropractor
  • Venice, FL
National Provider Identifier
1245633932
Registry record updated Oct 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH11314 Issued in FL
Practice address
420 Nokomis Ave S
Venice, FL 34285-2617
Phone
(941) 488-7442
Fax
(941) 488-7444
NPI assigned
Oct 8, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 8, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH11314 FL Primary

Addresses

Primary practice location

420 Nokomis Ave S
Venice, FL 34285-2617

Mailing address

420 Nokomis Ave S
Venice, FL 34285-2617
Phone (941) 488-7442

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170223002097 FL Practitioner - Chiropractic 1951685635 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - West Sunnyvale, 2014
Medicare assignment
May accept Medicare assignment
Group practices
Grappin Clinic of Chiropractic PAGroup PAC ID 4587838636, 4 clinicians

Practice addresses (Care Compare)

12511 Tamiami TRL S
North Port, FL 34287-1446
Phone (941) 426-9551

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Grappin Clinic of Chiropractic PA Chiropractor CurrentSince Aug 30, 2024 Accepting new patients

Locations

12511 Tamiami Trl S
North Port, FL 34287
Phone (813) 426-9551

420 Nokomis Ave S
Venice, FL 34285
Phone (941) 355-2767

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": "1412726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412726400000",
    "number": "1245633932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 NOKOMIS AVE S",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342852617",
            "telephone_number": "941-488-7442",
            "fax_number": "941-488-7444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 NOKOMIS AVE S",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342852617",
            "telephone_number": "941-488-7442",
            "fax_number": "941-488-7444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TILKA",
        "first_name": "ANDREW",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-10-08",
        "last_updated": "2014-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH11314",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Venice, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2014; 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.