Tylur Dayne Arvidson, D.C

Key facts

NPI

1801243647

Entity type

Individual (NPI type 1)

Primary specialty

Chiropractor 111N00000X

License

72 (VI)

Practice address

5302 Yacht Haven Grande
S100
St Thomas, VI 00802-1180

Phone

(340) 714-4325

NPI assigned

May 23, 2016

Sex

Male

Sole proprietor

Yes

Organizations & group practices 3

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.

• Chiropractic Connection LLC Rehabilitation Chiropractor · St Thomas, VI · NPI 1083320196
  Medicare reassignment NPD Authorized official VI
• Mybiofix LLC Nutrition Chiropractor · St Thomas, VI · NPI 1427980671
  NPD Authorized official
• Michigan Chiropractic Specialists of Waterford, P.C. Chiropractor · Waterford, MI · NPI 1740336767
  NPD (past) CHIROPRACTOR

Medicare Care Compare profile

Specialty

Chiropractic

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare participation

Medicare fee-for-service enrollment

Enrolled in VI

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

State licenses

Practice roles

Locations

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 21, 2016.

{
    "created_epoch": "1463961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469059200000",
    "number": "1801243647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8180",
            "city": "ST THOMAS",
            "state": "VI",
            "postal_code": "008011180",
            "telephone_number": "678-485-0260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5302 YACHT HAVEN GRANDE",
            "address_2": "S100",
            "city": "ST THOMAS",
            "state": "VI",
            "postal_code": "008021180",
            "telephone_number": "340-714-4325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARVIDSON",
        "first_name": "TYLUR",
        "middle_name": "DAYNE",
        "name_prefix": "Dr.",
        "credential": "D.C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-05-23",
        "last_updated": "2016-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VI",
            "license": "72",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Thomas, VI

• Anesthesiology Consultants, LLC
• Angels Medical Supply Inc
• Ans Pediatrics PLLC
• Luz D Aponte, CRNA
• Tygue Andrew Arvidson, D.C.
• Ascent Medical LLC
• Ashley Moreau OT, LLC
• Aya Assebian
• Kidane H. Assefa, MD
• Ariana Athanase

All providers in St Thomas, VI · Chiropractor in U.S. Virgin Islands