Active NPI
Tyler Alexander Evans, D.C.
- Chiropractor
- Portsmouth, NH
National Provider Identifier
1639449846
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 976
- Practice address
- 875 Greenland Rd Unit A2
Portsmouth, NH 03801-4161 - Phone
- (603) 380-9184
- Fax
- (603) 380-9184
- NPI assigned
- Jan 4, 2012
- Last updated
- May 6, 2024
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 976 | NH | Primary |
Addresses
Primary practice location
875 Greenland Rd Unit A2
Portsmouth, NH 03801-4161
Mailing address
875 Greenland Rd Unit A2
Portsmouth, NH 03801-4161
Phone (603) 380-9184
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NH
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
875 Greenland Rd
Portsmouth, NH 03801-4161
Phone (603) 380-9184
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 976 | NH | MD | Optician |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1325635200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714953600000",
"number": "1639449846",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "875 GREENLAND RD UNIT A2",
"city": "PORTSMOUTH",
"state": "NH",
"postal_code": "038014161",
"telephone_number": "603-380-9184",
"fax_number": "033-809-1896"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "875 GREENLAND RD UNIT A2",
"city": "PORTSMOUTH",
"state": "NH",
"postal_code": "038014161",
"telephone_number": "603-380-9184",
"fax_number": "603-380-9184"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EVANS",
"first_name": "TYLER",
"middle_name": "ALEXANDER",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-01-04",
"last_updated": "2024-05-06",
"certification_date": "2024-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NH",
"license": "976",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Portsmouth, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2024; 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.