Tyson Chiropractic Auto Injury and Rehab Center, Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH9521 Issued in FL

Legal business name

TYSON CHIROPRACTIC AUTO INJURY AND REHAB CENTER, INC

Practice address

11974 Balm Riverview Rd
Riverview, FL 33569-6601

Phone

(813) 443-5223

Fax

(813) 443-5699

NPI assigned

Oct 8, 2015

Last updated

Oct 8, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Shanelle Tyson, DC

Title

Co-Owner

Phone

(813) 443-5223

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Darrin Phillip Tyson, DC

  • Chiropractor
  • Riverview, FL
  • NPI 1851499909
  Medicare reassignment
• Keri Ann Herro, D.C.

  • Chiropractor
  • Riverview, FL
  • NPI 1033348974
  NPD (past)
• Ranko Savic Tutulugdzija, L.A.

  • Acupuncturist
  • Tustin, CA
  • NPI 1932356953
  NPD (past)

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

{
    "created_epoch": "1444262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444262400000",
    "number": "1275904989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11974 BALM RIVERVIEW RD",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335696601",
            "telephone_number": "813-443-5223",
            "fax_number": "813-443-5699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11974 BALM RIVERVIEW RD",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335696601",
            "telephone_number": "813-443-5223",
            "fax_number": "813-443-5699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TYSON CHIROPRACTIC AUTO INJURY AND REHAB CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-08",
        "last_updated": "2015-10-08",
        "status": "A",
        "authorized_official_last_name": "TYSON",
        "authorized_official_first_name": "SHANELLE",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "813-443-5223",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH9521",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Winter Tumbaga
• Claudia Turenne, APRN-C
• Amber Palermo Turner, ARNP
• Kamiya Turner
• Meghan Turner
• Darrin Phillip Tyson, DC
• Felicia Marieta Udogu, PHARMD
• Marielle A Ulan
• Ernesto Ulloa-Jimenez, DMD
• Danielle Umphries, BCBA

• Chiropractor in Riverview, FL
• Providers in Riverview, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2015; 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.