Individual provider Active NPI

Tyson Adair, D.C.

  • Chiropractor
  • Mesa, AZ
National Provider Identifier
1780099382
Registry record updated Jun 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
8409 Issued in AZ
Practice address
6824 E Brown Rd # 101
Mesa, AZ 85207-3705
Phone
(480) 454-3418
Fax
(480) 466-7081
NPI assigned
Jun 23, 2014
Last updated
Jun 16, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 8409 AZ Primary

Addresses

Primary practice location

6824 E Brown Rd # 101
Mesa, AZ 85207-3705

Mailing address

6824 E Brown Rd
# 101
Mesa, AZ 85207-3705

Other practice location 1

7254 E Southern Ave Ste 113
Mesa, AZ 85209-2787
Phone (480) 807-1324

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140912001511 AZ Practitioner - Chiropractic 0547489130 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6824 E Brown Rd
Suite 101
Mesa, AZ 85207-3703
Phone (480) 454-3418

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Motion Chiropractic PLLC Chiropractor CurrentSince Jan 7, 2018 Accepting new patients

Locations

6824 E Brown Rd
Ste 101
Mesa, AZ 85207
Phone (480) 454-3418

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": "1403481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529107200000",
    "number": "1780099382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6824 E BROWN RD",
            "address_2": "# 101",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852073705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6824 E BROWN RD # 101",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852073705",
            "telephone_number": "480-454-3418",
            "fax_number": "480-466-7081"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7254 E Southern Ave Ste 113",
            "address_purpose": "LOCATION",
            "city": "Mesa",
            "state": "AZ",
            "postal_code": "852092787",
            "country_code": "US",
            "telephone_number": "480-807-1324",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ADAIR",
        "first_name": "TYSON",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-23",
        "last_updated": "2018-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "8409",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.