Active NPI
Tyler R Elmore, DC
- Chiropractor
- Syracuse, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 4797992-1202
- Practice address
- 1013 W 2700 S
Syracuse, UT 84075 - Phone
- (801) 774-7540
- Fax
- (801) 774-7542
- NPI assigned
- Oct 3, 2006
- Last updated
- Feb 12, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 4797992-1202 | UT | Primary |
Addresses
Primary practice location
1013 W 2700 S
Syracuse, UT 84075
Mailing address
1013 W 2700 S
Syracuse, UT 84075
Phone (801) 774-7540
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Logan College of Chiropractic, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1013 W 2700
Syracuse, UT 84075-8973
Phone (801) 774-7540
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4797992-1202 | UT | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Syracuse Chiropractic and Health Center LC | Chiropractor | Current | Accepting new patients |
| Elmore Chiropractic & Nutrition, LC | Chiropractor | Past | Accepting new patients |
| North Ogden Chiropractic & Wellness, L.L.C. | Past | Accepting new patients |
Locations
1013 W 2700 S
Syracuse, UT 84075
Phone (801) 613-8842
1747 Heritage Ln
Ste B105
Syracuse, UT 84075
Phone (801) 774-7540
1842 S 2000 W
Ste 2
Syracuse, UT 84075
Phone (801) 774-7540
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.
-
- Chiropractor
- Syracuse, UT
- NPI 1518154319
-
- Chiropractor
- Syracuse, UT
- NPI 1265754196
-
- Clinic/Center
- North Ogden, UT
- NPI 1336301183
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1549929600000",
"number": "1811081771",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1013 W 2700 S",
"city": "SYRACUSE",
"state": "UT",
"postal_code": "84075",
"telephone_number": "801-774-7540",
"fax_number": "801-774-7542"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1013 W 2700 S",
"city": "SYRACUSE",
"state": "UT",
"postal_code": "84075",
"telephone_number": "801-774-7540",
"fax_number": "801-774-7542"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELMORE",
"first_name": "TYLER",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-03",
"last_updated": "2019-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "UT",
"license": "4797992-1202",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Syracuse, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2019; 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.