NPIMap

Organization Active NPI

Tyler B Wilt D.C., P.C.

  • Chiropractor
  • Montoursville, PA
National Provider Identifier
1437514833
Registry record updated Dec 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC011093 Issued in PA
Legal business name
TYLER B WILT D.C., P.C.
Practice address
333 Broad St
Montoursville, PA 17754-2205
Phone
(570) 368-2897
NPI assigned
Dec 29, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2015

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

Authorized official

Name
Dr. Tyler B Wilt, D.C.NPI 1861866634
Title
Owner
Phone
(570) 765-0965

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X DC011093 PA Primary

Addresses

Primary practice location

333 Broad St
Montoursville, PA 17754-2205

Mailing address

333 Broad St
Montoursville, PA 17754-2205

National Provider Directory

National Provider Directory

Locations

333 Broad St
Montoursville, PA 17754
Phone (570) 368-2897

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1451347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1451347200000",
    "number": "1437514833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 BROAD ST",
            "city": "MONTOURSVILLE",
            "state": "PA",
            "postal_code": "177542205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 BROAD ST",
            "city": "MONTOURSVILLE",
            "state": "PA",
            "postal_code": "177542205",
            "telephone_number": "570-368-2897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TYLER B WILT D.C., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-29",
        "last_updated": "2015-12-29",
        "status": "A",
        "authorized_official_last_name": "WILT",
        "authorized_official_first_name": "TYLER",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "570-765-0965",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC011093",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montoursville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.