NPIMap

Organization Active NPI

Tyson Synergy1 Solutions, Inc.

  • Chiropractor
  • San Clemente, CA
National Provider Identifier
1346652666
Registry record updated May 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
31238 Issued in CA
Legal business name
TYSON SYNERGY1 SOLUTIONS, INC.
Practice address
161 Avenida Baja
San Clemente, CA 92672-2465
Phone
(949) 315-9350
NPI assigned
May 21, 2014
Last updated
May 21, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2014

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

Authorized official

Name
Dr. Stephanie Tami Tyson, D.C.
Title
Ceo
Phone
(949) 315-9350

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 31238 CA Primary

Addresses

Primary practice location

161 Avenida Baja
San Clemente, CA 92672-2465

Mailing address

161 Avenida Baja
San Clemente, CA 92672-2465
Phone (949) 315-9350

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1400630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400630400000",
    "number": "1346652666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "161 AVENIDA BAJA",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926722465",
            "telephone_number": "949-315-9350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "161 AVENIDA BAJA",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926722465",
            "telephone_number": "949-315-9350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TYSON SYNERGY1 SOLUTIONS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-21",
        "last_updated": "2014-05-21",
        "status": "A",
        "authorized_official_last_name": "TYSON",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "TAMI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "949-315-9350",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "31238",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Clemente, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2014; 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.