Tyler Hawke, D.C.
Individual provider Active NPI Chiropractor · Wallace, NC
NPI 1346051828 · NPPES record last updated Jan 15, 2025
Key facts
- NPI
- 1346051828
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 5861 (NC)
- Practice address
- 116 N Norwood St
Wallace, NC 28466-2730 - Phone
- (910) 285-7222
- NPI assigned
- Jan 15, 2025
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- Sherman College of Straight Chiropractic, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Graybar Chiropractic Inc
Practice addresses (Care Compare)
2110 S 17TH St
Wilmington, NC 28401-7408
Phone (910) 343-5250
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250404002873 | NC | Practitioner - Chiropractic | 9830613405 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5861 | NC | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Graybar Chiropractic, Inc. | Chiropractor | Current |
Accepting new patients |
Locations
116 N Norwood St
Wallace, NC 28466
Phone (910) 285-7222
2110 S 17th St
Wilmington, NC 28401
Phone (910) 343-5250
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 5861 | NC | Yes |
Addresses
Primary practice location
116 N Norwood St
Wallace, NC 28466-2730
Mailing address
116 N Norwood St
Wallace, NC 28466-2730
Phone (910) 285-7222
Other providers in Wallace, NC
- Graybar Chiropractic, Inc.
- Michael Francis Graybar Jr.
- Ryan Michael Graybar
- Lori Hartley
- Crystal Rose Havens
- Helping Hands Care Management Services
- Helping Hands Care Management Services, Inc
- Helping Hands Care Management Services, Inc.
- John Willis Hensley
- Hi-Medeq Inc.
All providers in Wallace, NC · Chiropractor in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 15, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.