Active NPI
Tyler Lovell, D.C.
- Chiropractor
- Dundee, MI
National Provider Identifier
1760959191
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2301010752
- Practice address
- 14275 S Custer Rd
Dundee, MI 48131-1381 - Phone
- (386) 427-2722
- NPI assigned
- Oct 24, 2018
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2301010752 | MI | Primary |
| Chiropractor | 111N00000X | 12403 | FL |
Addresses
Primary practice location
14275 S Custer Rd
Dundee, MI 48131-1381
Mailing address
1919 Danbury E
Okemos, MI 48864-1872
Phone (734) 755-7137
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
14275 S Custer Rd
Dundee, MI 48131-1381
Phone (734) 529-3530
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12403 | FL | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rooted Chiropractic PC | Chiropractor | Current | Accepting new patients |
Locations
107 W Grand River Ave
Howell, MI 48843
Phone (517) 381-1880
Organizations & group practices 2
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.
-
- Chiropractor
- Dundee, MI
- NPI 1275122970
-
- Chiropractor
- Howell, MI
- NPI 1629743547
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1540339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1611619200000",
"number": "1760959191",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1919 DANBURY E",
"city": "OKEMOS",
"state": "MI",
"postal_code": "488641872",
"telephone_number": "734-755-7137"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14275 S CUSTER RD",
"city": "DUNDEE",
"state": "MI",
"postal_code": "481311381",
"telephone_number": "386-427-2722"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOVELL",
"first_name": "TYLER",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-10-24",
"last_updated": "2021-01-26",
"certification_date": "2021-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "MI",
"license": "2301010752",
"primary": true
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "FL",
"license": "12403",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dundee, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2021; 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.