Active NPI
Todd Tyo Jr., DC
- Rehabilitation Chiropractor
- Fort Worth, TX
National Provider Identifier
1427407741
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Chiropractor
- License
- 13179
- 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, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 13179 | TX | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lawton Chiropractic, PLLC | Current | 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.
-
- Chiropractor
- Lawton, OK
- NPI 1811538911
-
- Chiropractor
- Lawton, OK
- NPI 1346695491
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.