Tyler Johnson, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

006998 Issued in IA

Practice address

3127 Brady St
Johnson Chiropractic & Sports Injury Ste #4
Davenport, IA 52803-1233

Phone

(563) 323-2385

Fax

(563) 323-3285

NPI assigned

Nov 28, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IA, IL2 enrollments

Enrollment records 2

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Nelson Chiropractic Systems PCGroup PAC ID 0840287082, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Nelson Chiropractic Systems, P.C.

  • Chiropractor
  • Bettendorf, IA
  • NPI 1477566404
  Medicare reassignment Care Compare group NPD
• Galesburg Wellness Systems P.C.

  • Chiropractor
  • Galesburg, IL
  • NPI 1255813770
  Medicare reassignment NPD
• Wellness Associates, PLLC

  • Chiropractor
  • Mesa, AZ
  • NPI 1972633154
  NPD (past)

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213920000000",
    "number": "1821164203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3127 BRADY ST",
            "address_2": "JOHNSON CHIROPRACTIC & SPORTS INJURY STE #4",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528031233",
            "telephone_number": "563-323-2385",
            "fax_number": "563-323-3285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3127 BRADY ST",
            "address_2": "JOHNSON CHIROPRACTIC & SPORTS INJURY STE #4",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528031233",
            "telephone_number": "563-323-2385",
            "fax_number": "563-323-3285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "TYLER",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-28",
        "last_updated": "2008-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "006998",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ronda Lee Johnson, ARNP
• Shannon Lee Johnson, PA-C
• Teresa Johnson, LMT
• Toshia Johnson, MSED, LMHC
• Trudi H Johnson, APRN, CNP
• Jessica Johnstone, D.C.
• Jonathan Backstrom, LLC
• Andrea Lynn Jones, M.D.
• Ann M Jones, MA
• Hailey Jones, PTA

• Chiropractor in Davenport, IA
• Providers in Davenport, IA by specialty
• Chiropractor in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2008; 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.