Tyler Whittaker, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

6017229-1202 Issued in UT

Practice address

1870 N Main St
Suite 205
Cedar City, UT 84720-7744

Phone

(435) 586-7575

Fax

(435) 586-7575

NPI assigned

Mar 23, 2007

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

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.

• Country Doc Shop LLC

  • Family Medicine Physician
  • Cedar City, UT
  • NPI 1750181376
  NPD

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1831216811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "436 S 225 W",
            "city": "CEDAR CITY",
            "state": "UT",
            "postal_code": "847203230",
            "telephone_number": "435-865-7609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1870 N MAIN ST",
            "address_2": "SUITE 205",
            "city": "CEDAR CITY",
            "state": "UT",
            "postal_code": "847207744",
            "telephone_number": "435-586-7575",
            "fax_number": "435-586-7575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITTAKER",
        "first_name": "TYLER",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "UT",
            "license": "6017229-1202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sage Lee White, DDS
• Mariah Whitlock
• Brian R Whitney, OD
• Whittaker Family Chiropractic, Inc.
• Rebecca C Whittaker, D.C.
• Karen Witzel Whittemore, FNP
• Julie A Wilcken, MPAS
• Ryan Eldredge Wilcox, M.D.
• Alexa Willeford, ATC, LAT
• William Michael Dancer

• Chiropractor in Cedar City, UT
• Providers in Cedar City, UT by specialty
• Chiropractor in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.