Individual provider Active NPI

Tyler F Hartley, D.C.

  • Chiropractor
  • Charlotte, NC
National Provider Identifier
1356840540
Registry record updated May 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5052 Issued in NC
Practice address
413 S Sharon Amity Rd Ste a
Charlotte, NC 28211-2881
Phone
(704) 469-4772
NPI assigned
Feb 2, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 5052 NC Primary

Addresses

Primary practice location

413 S Sharon Amity Rd Ste a
Charlotte, NC 28211-2881

Mailing address

234 Main St
Portland, CT 06480-1861

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190730003752 NC Practitioner - Chiropractic 7315273299 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - West Sunnyvale, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

413 S Sharon Amity Rd
Suite a
Charlotte, NC 28211-2881
Phone (704) 469-4772

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5052NCMDGeriatric Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Randolph Chiropractic Health Center PA Chiropractor CurrentSince May 22, 2019 Accepting new patients
Axiom Chiropractic PLLC CurrentSince Jul 17, 2021 Accepting new patients

Locations

2040 Randolph Rd
Ste B
Charlotte, NC 28207
Phone (704) 331-0100

413 S Sharon Amity Rd
Ste A
Charlotte, NC 28211
Phone (704) 469-4772

Organizations & group practices 2

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": "1517529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715817600000",
    "number": "1356840540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "234 MAIN ST",
            "city": "PORTLAND",
            "state": "CT",
            "postal_code": "064801861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "413 S SHARON AMITY RD STE A",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282112881",
            "telephone_number": "704-469-4772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARTLEY",
        "first_name": "TYLER",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-02-02",
        "last_updated": "2024-05-16",
        "certification_date": "2024-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "5052",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2024; 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.