Randi R Tyler, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038012299 Issued in IL

Practice address

102 Willow Dr Ste a
O Fallon, IL 62269-1073

Phone

(618) 799-0690

NPI assigned

Nov 2, 2012

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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 and National Provider Directory roles.

• Haven Chiropractic Care, PC

  • Clinic/Center
  • O Fallon, IL
  • NPI 1205600863
  NPD Authorized official

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

{
    "created_epoch": "1351814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699920000000",
    "number": "1740534320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 WILLOW DR STE A",
            "city": "O FALLON",
            "state": "IL",
            "postal_code": "622691073",
            "telephone_number": "618-799-0690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 WILLOW DR STE A",
            "city": "O FALLON",
            "state": "IL",
            "postal_code": "622691073",
            "telephone_number": "618-799-0690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TYLER",
        "first_name": "RANDI",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-11-02",
        "last_updated": "2023-11-14",
        "certification_date": "2023-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038012299",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexander R Tucker
• Ruth Esi Akyere Turkson, MD
• Michael Turner, LCPC
• Emma Tuttle, RBT
• Dezmauri Tyler
• Christina Unangst, RBT
• Underwood Chiropractic L.L.C.
• Lynn Sewester Underwood, MA, LCPC
• Scott Robert Underwood, D.C.
• United Surgical Institiute, PLLC

• Chiropractor in O Fallon, IL
• Providers in O Fallon, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.