Individual provider Active NPI

Tyler Corbin Fowler, DC

  • Sports Physician Chiropractor
  • Lone Tree, CO
National Provider Identifier
1346202736
Registry record updated Dec 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
5889 Issued in CO
Practice address
9068 Forsstrom Dr.
C-25
Lone Tree, CO 80124
Phone
(303) 925-1050
NPI assigned
Apr 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physician Chiropractor 111NS0005X 5889 CO Primary

Addresses

Primary practice location

9068 Forsstrom Dr.
C-25
Lone Tree, CO 80124

Mailing address

9068 Forsstrom Dr Unit C25
Lonetree, CO 80124-5578
Phone (303) 925-1050

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070124000172 CO Practitioner - Chiropractic 1850392572 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2006
Medicare assignment
May accept Medicare assignment
Group practices
Chiropractic Dimensions LLCGroup PAC ID 9739180449, 7 clinicians

Practice addresses (Care Compare)

88 Inverness Cir E
A106 Physical Dimensions Ihg
Englewood, CO 80112-5504
Phone (303) 925-1050

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5889COMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Chiropractic Dimensions LLC CurrentSince Jan 22, 2007 Accepting new patients
Physical Dimensions Physical Therapy LLC Past Accepting new patients
Physiomed LLC PastSince Jan 22, 2007 Accepting new patients

Locations

88 Inverness Cir E
Unit A106
Englewood, CO 80112
Phone (303) 726-6523

9068 Forsstrom Dr
Unit C25
Lone Tree, CO 80124
Phone (303) 925-1050

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1144022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291852800000",
    "number": "1346202736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9068 FORSSTROM DR UNIT C25",
            "city": "LONETREE",
            "state": "CO",
            "postal_code": "801245578",
            "telephone_number": "303-925-1050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9068 FORSSTROM DR.",
            "address_2": "C-25",
            "city": "LONE TREE",
            "state": "CO",
            "postal_code": "80124",
            "telephone_number": "303-925-1050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOWLER",
        "first_name": "TYLER",
        "middle_name": "CORBIN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-03",
        "last_updated": "2010-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "CO",
            "license": "5889",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lone Tree, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2010; 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.