Dynamic Chiropractic

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

007702 Issued in IA

Legal business name

DYNAMIC CHIROPRACTIC

Practice address

8515 Douglas Ave
Ste. 25
Urbandale, IA 50322-2915

Phone

(515) 278-2225

NPI assigned

Oct 11, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Wyatt Wesley Tyler, D.C.

Title

Owner/Doctor

Phone

(515) 278-2225

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1476144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476144000000",
    "number": "1821548165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8515 DOUGLAS AVE",
            "address_2": "STE. 25",
            "city": "URBANDALE",
            "state": "IA",
            "postal_code": "503222915",
            "telephone_number": "515-278-2225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8515 DOUGLAS AVE",
            "address_2": "STE. 25",
            "city": "URBANDALE",
            "state": "IA",
            "postal_code": "503222915",
            "telephone_number": "515-278-2225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYNAMIC CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-11",
        "last_updated": "2016-10-11",
        "status": "A",
        "authorized_official_last_name": "TYLER",
        "authorized_official_first_name": "WYATT",
        "authorized_official_middle_name": "WESLEY",
        "authorized_official_title_or_position": "OWNER/DOCTOR",
        "authorized_official_telephone_number": "515-278-2225",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "007702",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1427347830",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dr. Curtis Broek, OD, PC
• Bailey Drent
• DSM Sleep LLC
• Amy Duede, PSY.D.
• Colby Lee Dunn, PHARMD
• Scott Eastin, MD
• Nicole Eckhart, LMSW
• Econo-Med of Iowa, LLC
• Edencrest at Timberline
• Katherine Edwards

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.