Individual provider Active NPI

Tyler Winters, DC

  • Chiropractor
  • Vancouver, WA
National Provider Identifier
1790448777
Registry record updated Oct 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH61229222 Issued in WA
Practice address
8501 E Mill Plain Blvd
Vancouver, WA 98664-2010
Phone
(360) 718-2346
Fax
(360) 718-2347
NPI assigned
Oct 18, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH61229222 WA Primary

Addresses

Primary practice location

8501 E Mill Plain Blvd
Vancouver, WA 98664-2010

Mailing address

8501 E Mill Plain Blvd
Vancouver, WA 98664-2010
Phone (360) 718-2346

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211210000874 WA Practitioner - Chiropractic 7214327022 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2021
Medicare assignment
May accept Medicare assignment
Group practices
Body in Balance Chiropractic and Wellness CenterGroup PAC ID 9537469085, 4 clinicians

Practice addresses (Care Compare)

5101 NE 82ND Ave
Suite 100
Vancouver, WA 98662-6343
Phone (360) 718-2346

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Robert Olsen MD Washington PC CurrentSince Sep 12, 2025 Accepting new patients
Body in Balance Chiropractic and Wellness Center Chiropractor CurrentSince Dec 1, 2021 Accepting new patients

Locations

5101 NE 82nd Ave
Ste 100
Vancouver, WA 98662
Phone (360) 718-2346

8501 E Mill Plain Blvd
Vancouver, WA 98664
Phone (360) 718-2346

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.

NPI Registry JSON

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

{
    "created_epoch": "1634515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634515200000",
    "number": "1790448777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8501 E MILL PLAIN BLVD",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986642010",
            "telephone_number": "360-718-2346",
            "fax_number": "360-718-2347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8501 E MILL PLAIN BLVD",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986642010",
            "telephone_number": "360-718-2346",
            "fax_number": "360-718-2347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINTERS",
        "first_name": "TYLER",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-10-18",
        "last_updated": "2021-10-18",
        "certification_date": "2021-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH61229222",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 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.

Verify at the official NPI Registry.