Tyler Jeffory Jennings, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2780 Issued in TN

Practice address

625 N Riverside Dr
Clarksville, TN 37040-3127

Phone

(931) 542-9420

Fax

(931) 542-9422

NPI assigned

Oct 1, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Specialty

Chiropractic

Education

Logan College of Chiropractic, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Riverside Spine and Physical Medicine, PCGroup PAC ID 1456575141, 7 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.

• Riverside Spine & Physical Medicine, PC

  • Orthopaedic Surgery Physician
  • Clarksville, TN
  • NPI 1720407570

  Chiropractor

  Medicare reassignment Care Compare group NPD
• Hardin County Chiropractic Center Inc.

  • Chiropractor
  • Elizabethtown, IL
  • NPI 1174657407
  NPD

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

{
    "created_epoch": "1349049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1417824000000",
    "number": "1336490366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 N RIVERSIDE DR",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370403127",
            "telephone_number": "931-542-9420",
            "fax_number": "931-542-9422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 N RIVERSIDE DR",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370403127",
            "telephone_number": "931-542-9420",
            "fax_number": "931-542-9422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENNINGS",
        "first_name": "TYLER",
        "middle_name": "JEFFORY",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-10-01",
        "last_updated": "2014-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TN",
            "license": "2780",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038012266",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE #",
            "identifier": "038012266",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TENNESSEE LICENSE",
            "identifier": "2780",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kelsey Jenkins
• Kira Jenkins
• Macie Laine Jenkins
• Shemeka Lajuana Jenkins
• Tevin Lamarr Jenkins
• Alexis Jensen
• Angala Dawn Jensen
• Joshua Christopher Jernigan, DMD
• Bailey Jessie
• Brilee Diane Jessop

• Chiropractor in Clarksville, TN
• Providers in Clarksville, TN by specialty
• Chiropractor in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2014; 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.