Tyler Scott Doucette

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

6744 Issued in MN

Practice address

7501 80TH St S Ste 100
Cottage Grove, MN 55016-3063

Phone

(651) 459-2225

Fax

(651) 458-8037

NPI assigned

Jun 1, 2020

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 MN

Enrollment records 1

Specialty

Chiropractic

Education

Northwestern College of Chiropractic, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Family Wellness Center of C G P.a.

  • Chiropractor
  • Cottage Grove, MN
  • NPI 1427097849
  Medicare reassignment

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

{
    "created_epoch": "1590969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590969600000",
    "number": "1295359735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7501 80TH ST S STE 100",
            "city": "COTTAGE GROVE",
            "state": "MN",
            "postal_code": "550163063",
            "telephone_number": "651-459-2225",
            "fax_number": "651-458-8037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7501 80TH ST S STE 100",
            "city": "COTTAGE GROVE",
            "state": "MN",
            "postal_code": "550163063",
            "telephone_number": "651-459-2225",
            "fax_number": "651-458-8037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOUCETTE",
        "first_name": "TYLER",
        "middle_name": "SCOTT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-06-01",
        "last_updated": "2020-06-01",
        "certification_date": "2020-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "6744",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Desire Wellness Care
• Dynese Diggs, NP
• Melinda Dols, MA
• Ryan Donovan
• Allison Dooley, RDH, DT
• Colleen Therese Dougherty, PHARMD
• Laura L Draxler, D.C.
• Dresen Restorative Dentistry, PA
• Anna Drobnick, MA, LPCC TRACK
• Alison Dwyer, PHARMD

• Chiropractor in Cottage Grove, MN
• Providers in Cottage Grove, MN by specialty
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2020; 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.