Tyson Benjamin Long, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHIA-1916 Issued in ID

Practice address

1096 Eastland Dr N Ste 300
Twin Falls, ID 83301-8970

Phone

(208) 537-7246

NPI assigned

Apr 1, 2019

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Long Legacy Chiropractic

  • Chiropractor
  • Twin Falls, ID
  • NPI 1821643966
  NPD

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

{
    "created_epoch": "1554076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554076800000",
    "number": "1275095101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1096 EASTLAND DR N STE 300",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833018970",
            "telephone_number": "208-537-7246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1096 EASTLAND DR N STE 300",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833018970",
            "telephone_number": "208-537-7246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONG",
        "first_name": "TYSON",
        "middle_name": "BENJAMIN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-04-01",
        "last_updated": "2019-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ID",
            "license": "CHIA-1916",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert S Lobb, M.D.
• Kristina Marie Loder, LCSW
• Long Legacy Chiropractic
• Erik Long, M.D.
• Tyler Richard Long, DC
• Daniela Lopez Berazain
• Robin M Lopez, LSW
• Sarah Ann Lord, MOT, OTR/L
• Christopher Dean Lords, DPT
• Lori Calico, LMFT, PLLC

• Chiropractor in Twin Falls, ID
• Providers in Twin Falls, ID by specialty
• Chiropractor in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.