NPIMap

Organization Active NPI

Bodybalance

  • Chiropractor
  • Cheyenne, WY
National Provider Identifier
1245670231
Registry record updated Mar 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
735 Issued in WY
Legal business name
BODYBALANCE
Practice address
1600 Converse Ave
Cheyenne, WY 82001-5304
Phone
(307) 632-5901
NPI assigned
Jul 5, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2024

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

Authorized official

Name
Dr. Tyler J Tonso, D.C.NPI 1841539822
Title
Owner/Chiropractor
Phone
(307) 632-5901

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 735 WY Primary

Addresses

Primary practice location

1600 Converse Ave
Cheyenne, WY 82001-5304

Mailing address

1600 Converse Ave
Cheyenne, WY 82001-5304
Phone (307) 632-5901

Other practice location 1

1950 Bluegrass Cir
Suite 110
Cheyenne, WY 82009-7363
Phone (307) 514-5964

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130807001061 WY Part B Supplier - Clinic/Group Practice 3476795220 Receives reassigned benefits from 2 practitioners
Practice locations: Cheyenne, WY

National Provider Directory

National Provider Directory

Locations

1600 Converse Ave
Cheyenne, WY 82001
Phone (307) 514-5964

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1372982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711324800000",
    "number": "1245670231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 CONVERSE AVE",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820015304",
            "telephone_number": "307-632-5901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 CONVERSE AVE",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820015304",
            "telephone_number": "307-632-5901"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1950 Bluegrass Cir",
            "address_2": "Suite 110",
            "address_purpose": "LOCATION",
            "city": "Cheyenne",
            "state": "WY",
            "postal_code": "820097363",
            "country_code": "US",
            "telephone_number": "307-514-5964",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BODYBALANCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-05",
        "last_updated": "2024-03-25",
        "certification_date": "2024-03-25",
        "status": "A",
        "authorized_official_last_name": "TONSO",
        "authorized_official_first_name": "TYLER",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTOR",
        "authorized_official_telephone_number": "307-632-5901",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WY",
            "license": "735",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cheyenne, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2024; 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.