Individual provider Active NPI

Tyler Timmerman

  • Chiropractor
  • Dubuque, IA
National Provider Identifier
1457895799
Registry record updated Dec 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
085044 Issued in IA
Practice address
1920 JFK Rd
Dubuque, IA 52002-3896
Phone
(563) 556-0601
Fax
(563) 556-0605
NPI assigned
Dec 6, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 085044 IA Primary

Addresses

Primary practice location

1920 JFK Rd
Dubuque, IA 52002-3896

Mailing address

1920 JFK Rd
Dubuque, IA 52002-3896
Phone (563) 556-0601

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170918002599 IA Practitioner - Chiropractic 6800160623 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Stephen J. Dalsing D.C.P.C.Group PAC ID 5890839070, 2 clinicians

Practice addresses (Care Compare)

1920 JFK Rd
Suite B
Dubuque, IA 52002-3896
Phone (563) 556-0601

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Stephen J. Dalsing D.C.P.C. Chiropractor CurrentSince Sep 12, 2017 Accepting new patients

Locations

1920 John F Kennedy Rd
Ste B
Dubuque, IA 52002

1920 John F Kennedy Rd
Dubuque, IA 52002
Phone (563) 556-2353

Organizations & group practices 1

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": "1480982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480982400000",
    "number": "1457895799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1920 JFK RD",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "520023896",
            "telephone_number": "563-556-0601",
            "fax_number": "563-556-0605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1920 JFK RD",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "520023896",
            "telephone_number": "563-556-0601",
            "fax_number": "563-556-0605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIMMERMAN",
        "first_name": "TYLER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-12-06",
        "last_updated": "2016-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "085044",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dubuque, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 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.