Tyler Reed Powell, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4767 Issued in AZ

Practice address

7575 W Peoria Ave
Suite a 106
Peoria, AZ 85345-5873

Phone

(623) 873-4444

Fax

(623) 979-8515

NPI assigned

May 15, 2007

Last updated

Feb 4, 2008By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Specialty

Chiropractic

Education

Other, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Powell Chiropractic Health Center

  • Chiropractor
  • Peoria, AZ
  • NPI 1265802086
  NPD (past) Authorized official

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202083200000",
    "number": "1598971608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7575 W PEORIA AVE",
            "address_2": "SUITE A 106",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853455873",
            "telephone_number": "623-873-4444",
            "fax_number": "623-979-8515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7575 W PEORIA AVE",
            "address_2": "SUITE A 106",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853455873",
            "telephone_number": "623-873-4444",
            "fax_number": "623-979-8515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POWELL",
        "first_name": "TYLER",
        "middle_name": "REED",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-15",
        "last_updated": "2008-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "4767",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "AZ 0239560",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "2583988",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Posh Dental Peoria PLLC (Desert Summit Dentistry)
• Jodi L Poston
• Potters House Apothecary Inc (Potter's House Apothecary)
• Powell Chiropractic Health Center
• Jennifer Renee Powell, PHARM D
• Power Back Batteries LLC
• Amber Powers
• Lucinda Pelkey Powers
• Pradeep K Agarwal, MD LLC
• Terrence Anil Prasad, DO

• Chiropractor in Peoria, AZ
• Providers in Peoria, AZ by specialty
• Chiropractor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2008; 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.