Tyler B Skibba, D.C., C.C.E.P.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4790-012 Issued in WI

Practice address

658 W Ridgeview Dr
Appleton, WI 54911-1254

Phone

(920) 997-9740

Fax

(920) 997-9748

NPI assigned

Aug 29, 2011

Last updated

Aug 29, 2011By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

The Chiropractic Advantage LLCGroup PAC ID 9537233531, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• The Chiropractic Advantage LLC

  • Chiropractor
  • Appleton, WI
  • NPI 1336420751
  Medicare reassignment Care Compare group NPD Authorized official
• Oconto Chiropractic LLC

  dba The Chiropractic Advantage

  • Chiropractor
  • Oconto, WI
  • NPI 1205297355
  Medicare reassignment NPD
• Raschke Chiropractic Center SC

  dba Waupaca Chiropractic Center

  • Chiropractor
  • Waupaca, WI
  • NPI 1750382537
  NPD Authorized official
• The Chiropractic Advantage LLC

  • Chiropractor
  • Appleton, WI
  • NPI 1386839280
  Authorized official Same address or phone
• Maritime Chiropractic LLC

  dba The Chiropractic Advantage

  • Chiropractor
  • Manitowoc, WI
  • NPI 1891490496
  NPD
• Peterson Chiropractic Family Wellness Centre, S.C.

  dba Peterson Chiropractic

  • Orthopedic Chiropractor
  • Oconto, WI
  • NPI 1891977930
  NPD (past)

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

{
    "created_epoch": "1314576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314576000000",
    "number": "1629359120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "658 W RIDGEVIEW DR",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549111254",
            "telephone_number": "920-997-9740",
            "fax_number": "920-997-9748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "658 W RIDGEVIEW DR",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549111254",
            "telephone_number": "920-997-9740",
            "fax_number": "920-997-9748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKIBBA",
        "first_name": "TYLER",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "D.C., C.C.E.P.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-08-29",
        "last_updated": "2011-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "4790-012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lori A Sitek, PT
• SJ Community Collective, LLC
• Nelida N Sjak-Shie, PHD MD
• Willow Renee Skar, PTA
• Katie L Skebba, LCSW
• Michele Danette Skoglund, RN
• Magdalena Skorupa, RDH
• Deborah E Slavik, LPCC
• Sarah Louise Sleeter, PTA
• Michal F Slovick, MD

• Chiropractor in Appleton, WI
• Providers in Appleton, WI by specialty
• Chiropractor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2011; 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.