Dr. Tyler, LLC

Primary specialty

Point of ServiceTaxonomy code 305S00000X

License

4945 Issued in MO

Legal business name

DR. TYLER, LLC

Practice address

305 N 4TH Street
Washington, MO 63090-2322

Phone

(636) 239-2323

Fax

(636) 239-7168

NPI assigned

Mar 29, 2007

Organization subpart

No

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

Authorized official

Name

Lawrence P. Tyler, D.C.

Title

Owner/Provider

Phone

(636) 239-2323

Specialties & licenses 1

Addresses

Other names 1

• Fundamental Health Center Doing business as

Locations

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275350400000",
    "number": "1831219377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 N 4TH STREET",
            "city": "WASHINGTON",
            "state": "MO",
            "postal_code": "630902322",
            "telephone_number": "636-239-2323",
            "fax_number": "636-239-7168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 N 4TH STREET",
            "city": "WASHINGTON",
            "state": "MO",
            "postal_code": "630902322",
            "telephone_number": "636-239-2323",
            "fax_number": "636-239-7168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. TYLER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-29",
        "last_updated": "2010-06-01",
        "status": "A",
        "authorized_official_last_name": "TYLER",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "636-239-2323",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "MO",
            "license": "4945",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fundamental Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Yael Y Diplacido-Eastman, LCSW
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• Point of Service in Washington, MO
• Providers in Washington, MO by specialty
• Point of Service in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2010; 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.