Tyson Terry

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH 60542623 Issued in WA

Practice address

111 E Stewart Ave
Puyallup, WA 98372-3008

Phone

(253) 845-0543

Fax

(253) 848-6788

NPI assigned

Apr 16, 2015

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 WA

Enrollment records 1

Specialty

Chiropractic

Education

Western States College of Chiropractic, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Puyallup Chiropractic ClinicGroup PAC ID 2567352099, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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 and National Provider Directory roles.

• Puyallup Chiropractic Clinic

  • Chiropractor
  • Puyalluup, WA
  • NPI 1164599601
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1429142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429142400000",
    "number": "1255728291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11017 43RD STREET CT E",
            "city": "EDGEWOOD",
            "state": "WA",
            "postal_code": "983722356",
            "telephone_number": "253-202-0076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 E STEWART AVE",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983723008",
            "telephone_number": "253-845-0543",
            "fax_number": "253-848-6788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TERRY",
        "first_name": "TYSON",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-04-16",
        "last_updated": "2015-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH 60542623",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dennis Jerome Tembreull, H.I.S
• Katherine Rose Templeton, LMT
• Tenderpath Home Health Services LLC
• Teresa L Lane, RN - Nursing Services
• Kevin Lynn Terry, D.C.
• Lori L Teselle-Delisa, MA
• Kimberly Tevis, ATC
• Brian A Thacker, DPT, OCS, SCS, COMT
• Hannah Christine Thayer, LMP
• The Blue Cross Medical Transportation

• Chiropractor in Puyallup, WA
• Providers in Puyallup, WA by specialty
• Chiropractor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2015; 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.