Tyler Hoelting, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

123217 Issued in IA

Practice address

3536 Jersey Ridge Rd
Davenport, IA 52807-2223

Phone

(563) 940-4843

NPI assigned

Jun 18, 2020

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

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.

• Hoelting Enteprises LLC

  • Chiropractor
  • Davenport, IA
  • NPI 1821866070
  NPD Authorized official
• Chiropractic Wellness Center PC

  • Chiropractor
  • Kansas City, MO
  • NPI 1285829275
  NPD (past)

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

{
    "created_epoch": "1592438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712016000000",
    "number": "1336765015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3536 JERSEY RIDGE RD",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528072223",
            "telephone_number": "563-940-4843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3536 JERSEY RIDGE RD",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528072223",
            "telephone_number": "563-940-4843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOELTING",
        "first_name": "TYLER",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-06-18",
        "last_updated": "2024-04-02",
        "certification_date": "2023-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2020012516",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "123217",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1336765015",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2020012516",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Roberta Hodge, LMSW
• Mary Latina Hodges, FNP
• Meredith Lee Hodgson, ARNP
• Amy E Hoeg, P.T.
• Hoelting Enteprises LLC
• Brianna Hoenig
• John Hoffman, MD
• Ryley Loren Hoffman
• Livia Hoffmann, PT
• Heather Hogbin, LISW

• Chiropractor in Davenport, IA
• Providers in Davenport, IA by specialty
• Chiropractor in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2024; 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.