Tye Kenneth Leduc, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1014 Issued in MT

Practice address

80 Four Mile Dr
Suite 16
Kalispell, MT 59901-2665

Phone

(406) 756-7634

Fax

(406) 756-7643

NPI assigned

Jul 28, 2006

Sex

Male

Sole proprietor

No

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 MT

Enrollment records 1

Specialty

Chiropractic

Education

Northwestern College of Chiropractic, 2001

Medicare assignment

May accept Medicare assignment

Group practices

Stillwater Spine and Sports Center IncGroup PAC ID 6901846948, 5 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.

• Stillwater Spine & Sports Center, Inc.

  • Physical Therapy Clinic/Center
  • Kalispell, MT
  • NPI 1831370378
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611705600000",
    "number": "1285648964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 FOUR MILE DR STE 16",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599012665",
            "telephone_number": "406-756-7634",
            "fax_number": "406-756-7643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 FOUR MILE DR",
            "address_2": "SUITE 16",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599012665",
            "telephone_number": "406-756-7634",
            "fax_number": "406-756-7643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEDUC",
        "first_name": "TYE",
        "middle_name": "KENNETH",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-28",
        "last_updated": "2021-01-27",
        "certification_date": "2021-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MT",
            "license": "1014",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael A Lavin, DPT
• Linda Law, M.D.
• Tana R. Leander, LCSW
• Christopher M Leck, DPT
• Ledger Peak Marketing LLC
• Lucy Baldwin Ledyard
• Adita Lee, L.C.P.C.
• Shannon K Lee, PA-C
• Bryan Jeffrey Leeper, D.P.T.
• Jodi K Leeper, PAC

• Chiropractor in Kalispell, MT
• Providers in Kalispell, MT by specialty
• Chiropractor in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 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.