Tyler Wayne Vitzthum, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2032 Issued in CT

Practice address

1995 Post Rd.
Fairfield, CT 06824

Phone

(203) 259-1555

NPI assigned

May 12, 2016

Last updated

May 12, 2016By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bodyworks Medical Center of West Dundee PLLCGroup PAC ID 2769824366, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Bodyworks Medical Center of West Dundee PLLC

  • General Practice Physician
  • West Dundee, IL
  • NPI 1881458115
  Medicare reassignment Care Compare group NPD
• Evolve Chiropractic Lake Zurich PLLC

  • Chiropractor
  • Lake Zurich, IL
  • NPI 1922743996
  Medicare reassignment NPD
• Lakeside Chiropractic LLC

  • Chiropractor
  • Kenosha, WI
  • NPI 1669005013
  NPD
• Chiropractic Health & Wellness Center LLC

  • Chiropractor
  • Fairfield, CT
  • NPI 1659601037
  NPD (past)
• Southport Chiropractic Office, P.C.

  • Nutrition Chiropractor
  • Fairfield, CT
  • NPI 1780884973
  NPD (past)

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

{
    "created_epoch": "1463011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463011200000",
    "number": "1245686997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1995 POST RD.",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "06824",
            "telephone_number": "203-259-1555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1995 POST RD.",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "06824",
            "telephone_number": "203-259-1555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VITZTHUM",
        "first_name": "TYLER",
        "middle_name": "WAYNE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-05-12",
        "last_updated": "2016-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CT",
            "license": "2032",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anthony Viola III, DO
• Pramila Vishvanath, ND
• Visology Inc (VISOLOGY @Fairfield)
• Rene' Visser, L.C.S.W.
• Donna S Vitulano, MSW
• Vivonova Health PLLC
• Cailin Vizzo, M.S. CCC- SLP
• Barbara J Vogel, LMFT
• Vori Health Medical Group PLLC
• Vori Health Medical Group PLLC

• Chiropractor in Fairfield, CT
• Providers in Fairfield, CT by specialty
• Chiropractor in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2016; 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.