Tyler Jorgensen, D.C., B.S.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

562 Issued in AK

Practice address

808 S Bailey St
Suite 103
Palmer, AK 99645-6991

Phone

(907) 707-1380

NPI assigned

Aug 2, 2012

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AK

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - West Sunnyvale, 2012

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Bachelor of Science

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.

• Tyler Jorgensen DC LLC

  • Chiropractor
  • Palmer, AK
  • NPI 1871840041
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1343865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635379200000",
    "number": "1356697791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "808 S BAILEY ST",
            "address_2": "SUITE 103",
            "city": "PALMER",
            "state": "AK",
            "postal_code": "996456991",
            "telephone_number": "907-707-1380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "808 S BAILEY ST",
            "address_2": "SUITE 103",
            "city": "PALMER",
            "state": "AK",
            "postal_code": "996456991",
            "telephone_number": "907-707-1380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JORGENSEN",
        "first_name": "TYLER",
        "credential": "D.C., B.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-08-02",
        "last_updated": "2021-10-28",
        "certification_date": "2021-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AK",
            "license": "562",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pahleah Jones
• Virginia Rebecca Jones
• Jacob Nathaniel Jordan, PHARMD
• Mary Ann Jorgensen, RDN
• Shelis R Jorgensen, ADVANCED NURSE PRACT
• Josh Miller Counseling, LLC
• Miranda Jurik
• Cassandra Angela Justice, RN
• Annette Kasprzak, M.D
• Katie Gatica Physical Therapy, LLC

• Chiropractor in Palmer, AK
• Providers in Palmer, AK by specialty
• Chiropractor in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2021; 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.