Active NPI
Tyler Vangemert, L.AC.
- Acupuncturist
- Durango, CO
National Provider Identifier
1518387117
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 1400
- Practice address
- 1315 Main Ave
Suite 209
Durango, CO 81301-5173 - Phone
- (970) 247-1233
- NPI assigned
- Apr 22, 2014
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 1400 | CO | Primary |
Addresses
Primary practice location
1315 Main Ave
Suite 209
Durango, CO 81301-5173
Mailing address
1315 Main Ave
Suite 209
Durango, CO 81301-5173
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1400 | CO | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1398124800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1398124800000",
"number": "1518387117",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1315 MAIN AVE",
"address_2": "SUITE 209",
"city": "DURANGO",
"state": "CO",
"postal_code": "813015173"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1315 MAIN AVE",
"address_2": "SUITE 209",
"city": "DURANGO",
"state": "CO",
"postal_code": "813015173",
"telephone_number": "970-247-1233"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VANGEMERT",
"first_name": "TYLER",
"credential": "L.AC.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-04-22",
"last_updated": "2014-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CO",
"license": "1400",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Durango, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.