Individual provider Active NPI

Tyler Ledford, DC

  • Chiropractor
  • Wilmington, NC
National Provider Identifier
1407311699
Registry record updated Oct 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4896 Issued in NC
Practice address
6768 Gordon Rd
Wilmington, NC 28411-8464
Phone
(910) 313-1003
NPI assigned
Feb 1, 2019
Last updated
Oct 29, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4896 NC Primary

Addresses

Primary practice location

6768 Gordon Rd
Wilmington, NC 28411-8464

Mailing address

6768 Gordon Rd
Wilmington, NC 28411-8464
Phone (910) 313-1003

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240125001903 NC Practitioner - Chiropractic 1153774203 Reassigns benefits to 1 organization

Care Compare profile

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

Practice addresses (Care Compare)

6768 Gordon Rd
Wilmington, NC 28411-8464
Phone (910) 313-1003

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ledford Chiropractic PLLC Chiropractor CurrentSince Oct 22, 2023 Accepting new patients
Bill M. Macchi, D.C., P.a. Chiropractor PastSince Jan 1, 1999 Accepting new patients
Sweet Chiropractic Chiropractor PastSince Nov 5, 2023 Accepting new patients

Locations

6303 Oleander Dr
Ste 102A
Wilmington, NC 28403
Phone (910) 313-1322

6768 Gordon Rd
Wilmington, NC 28411
Phone (910) 313-1003

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, 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": "1548979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698537600000",
    "number": "1407311699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6768 GORDON RD",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284118464",
            "telephone_number": "910-313-1003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6768 GORDON RD",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284118464",
            "telephone_number": "910-313-1003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEDFORD",
        "first_name": "TYLER",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-02-01",
        "last_updated": "2023-10-29",
        "certification_date": "2023-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "4896",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2023; 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.