Individual provider Active NPI

Tyler James Stewart, DC

  • Chiropractor
  • Dearborn, MI
National Provider Identifier
1275045601
Registry record updated Oct 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301010571 Issued in MI
Practice address
2300 Monroe St
Dearborn, MI 48124-3010
Phone
(313) 565-4500
NPI assigned
Oct 25, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC-04764 OH
Chiropractor 111N00000X 2301010571 MI Primary

Addresses

Primary practice location

2300 Monroe St
Dearborn, MI 48124-3010

Mailing address

2300 Monroe St
Dearborn, MI 48124-3010
Phone (313) 565-4500

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181010002963 MI Practitioner - Chiropractic 7719243385 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Heidi M Labo DC PCGroup PAC ID 4688624034, 3 clinicians

Practice addresses (Care Compare)

2300 Monroe St
Dearborn, MI 48124-3010
Phone (313) 565-4500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ability Chiropractic Marion LLC Chiropractor CurrentSince Oct 1, 2023 Accepting new patients
Heidi M Labo DC PC Chiropractor CurrentSince Jun 21, 2021 Accepting new patients
Peltier Chiropractic Center LLC Chiropractor PastSince Oct 14, 2017 Accepting new patients

Locations

2300 Monroe St
Dearborn, MI 48124
Phone (313) 565-0077

355 Barks Rd E
Marion, OH 43302
Phone (740) 389-3330

Organizations & group practices 3

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": "1508889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633478400000",
    "number": "1275045601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 MONROE ST",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481243010",
            "telephone_number": "313-565-4500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 MONROE ST",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481243010",
            "telephone_number": "313-565-4500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEWART",
        "first_name": "TYLER",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-10-25",
        "last_updated": "2021-10-06",
        "certification_date": "2021-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "DC-04764",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301010571",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dearborn, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2021; 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.