Individual provider Active NPI

Todd Tyo Jr., DC

  • Rehabilitation Chiropractor
  • Fort Worth, TX
National Provider Identifier
1427407741
Registry record updated Jun 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
License
13179 Issued in TX
Practice address
1301 N Beach St
Fort Worth, TX 76111-6613
Phone
(817) 831-3388
Fax
(888) 448-3903
NPI assigned
Jun 7, 2016
Last updated
Jun 7, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Chiropractor 111NR0400X 13179 TX Primary

Addresses

Primary practice location

1301 N Beach St
Fort Worth, TX 76111-6613

Mailing address

1301 N Beach St
Fort Worth, TX 76111-6613
Phone (817) 831-3388

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191107002928 OK Practitioner - Chiropractic 2668746397 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1818 W Gore Blvd
Lawton, OK 73501-3615
Phone (580) 699-5115

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
13179TXMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Lawton Chiropractic, PLLC CurrentSince Sep 7, 2019 Accepting new patients

Locations

1818 W Gore Blvd
Lawton, OK 73501
Phone (580) 699-5115

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, 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": "1465257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465257600000",
    "number": "1427407741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 N BEACH ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761116613",
            "telephone_number": "817-831-3388",
            "fax_number": "888-448-3903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 N BEACH ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761116613",
            "telephone_number": "817-831-3388",
            "fax_number": "888-448-3903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TYO",
        "first_name": "TODD",
        "name_suffix": "Jr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-07",
        "last_updated": "2016-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "TX",
            "license": "13179",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2016; 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.