Individual provider Active NPI

Tylur Dayne Arvidson, D.C

  • Chiropractor
  • St Thomas, VI
National Provider Identifier
1801243647
Registry record updated Jul 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
72 Issued in VI
Practice address
5302 Yacht Haven Grande
S100
St Thomas, VI 00802-1180
Phone
(340) 714-4325
NPI assigned
May 23, 2016
Last updated
Jul 21, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 72 VI Primary

Addresses

Primary practice location

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

Mailing address

PO Box 8180
St Thomas, VI 00801-1180
Phone (678) 485-0260

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220420003160 VI Practitioner - Chiropractic 8224441852 Reassigns benefits to 1 organization
Practice locations: St Thomas, VI

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)

5316 Yacht Haven Grande
N107
St Thomas, VI 00802-5027
Phone (340) 244-4470

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
72VIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Chiropractic Connection LLC CurrentSince Dec 9, 2025 Accepting new patients
Mybiofix LLC Current Accepting new patients
Michigan Chiropractic Specialists of Waterford, P.C. Chiropractor PastSince Feb 3, 2006 Accepting new patients

Locations

5316 Yacht Haven Grande
#107
St Thomas, VI 00802
Phone (678) 485-0260

5316 Yacht Haven Grande
#N1
St Thomas, VI 00802
Phone (340) 244-4470

5316 Yacht Haven Grande
#N101
St Thomas, VI 00802
Phone (678) 485-0260

5316 Yacht Haven Grande
#N107
St Thomas, VI 00802
Phone (304) 407-2911

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, 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": "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

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2016; 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.