Individual provider Active NPI

Tyler Hawke, D.C.

  • Chiropractor
  • Wallace, NC
National Provider Identifier
1346051828
Registry record updated Jan 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5861 Issued in NC
Practice address
116 N Norwood St
Wallace, NC 28466-2730
Phone
(910) 285-7222
NPI assigned
Jan 15, 2025
Last updated
Jan 15, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 5861 NC Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250404002873 NC Practitioner - Chiropractic 9830613405 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Sherman College of Straight Chiropractic, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Graybar Chiropractic IncGroup PAC ID 5294759619, 7 clinicians

Practice addresses (Care Compare)

2110 S 17TH St
Wilmington, NC 28401-7408
Phone (910) 343-5250

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5861NCMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Graybar Chiropractic, Inc. Chiropractor CurrentSince Jan 14, 2025 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

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1736899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736899200000",
    "number": "1346051828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 N NORWOOD ST",
            "city": "WALLACE",
            "state": "NC",
            "postal_code": "284662730",
            "telephone_number": "910-285-7222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 N NORWOOD ST",
            "city": "WALLACE",
            "state": "NC",
            "postal_code": "284662730",
            "telephone_number": "910-285-7222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAWKE",
        "first_name": "TYLER",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-01-15",
        "last_updated": "2025-01-15",
        "certification_date": "2025-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "5861",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wallace, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2025; 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.