Individual provider Active NPI

Tylor Pritchard, DC

  • Chiropractor
  • Columbus, OH
National Provider Identifier
1487318085
Registry record updated Aug 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
111133 Issued in IA
Practice address
5579 N Hamilton Rd
Columbus, OH 43230-1321
Phone
(419) 569-6095
NPI assigned
Oct 29, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 111133 IA Primary

Addresses

Primary practice location

5579 N Hamilton Rd
Columbus, OH 43230-1321

Mailing address

6826 Albany Woods Blvd
New Albany, OH 43054-9387
Phone (419) 569-6095

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220916000423 OH Practitioner - Chiropractic 4183013667 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2021
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

5579 N Hamilton Rd
Gahanna, OH 43230-1321
Phone (419) 569-6095

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
111133IAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Potent Chiropractic LLC Chiropractor CurrentSince Aug 1, 2022 Accepting new patients

Locations

5579 N Hamilton Rd
Gahanna, OH 43230
Phone (419) 569-6095

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": "1635465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661472000000",
    "number": "1487318085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6826 ALBANY WOODS BLVD",
            "city": "NEW ALBANY",
            "state": "OH",
            "postal_code": "430549387",
            "telephone_number": "419-569-6095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5579 N HAMILTON RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432301321",
            "telephone_number": "419-569-6095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRITCHARD",
        "first_name": "TYLOR",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-10-29",
        "last_updated": "2022-08-26",
        "certification_date": "2022-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "111133",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2022; 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.