Individual provider Active NPI

Lina Marcela Tyler, D.C.

  • Chiropractor
  • Bluffton, SC
National Provider Identifier
1831734557
Registry record updated Nov 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4499 Issued in SC
Practice address
162 Bluffton Rd Ste 101
Bluffton, SC 29910-6340
Phone
(843) 706-3472
NPI assigned
Nov 18, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4499 SC Primary

Addresses

Primary practice location

162 Bluffton Rd Ste 101
Bluffton, SC 29910-6340

Mailing address

9 Sugar Maple LN
Bluffton, SC 29910-7698
Phone (843) 422-9815

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200128002058 SC Practitioner - Chiropractic 0446686158 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bluffton Family Chiropractic PAGroup PAC ID 0840104345, 7 clinicians

Practice addresses (Care Compare)

162 Bluffton Rd
Suite 101
Bluffton, SC 29910-6340
Phone (843) 706-3472

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Bluffton Family Chiropractic P a Chiropractor CurrentSince Jan 1, 2020 Accepting new patients

Locations

162 Bluffton Rd
Ste 101
Bluffton, SC 29910
Phone (843) 321-8016

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1574035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574035200000",
    "number": "1831734557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 SUGAR MAPLE LN",
            "city": "BLUFFTON",
            "state": "SC",
            "postal_code": "299107698",
            "telephone_number": "843-422-9815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "162 BLUFFTON RD STE 101",
            "city": "BLUFFTON",
            "state": "SC",
            "postal_code": "299106340",
            "telephone_number": "843-706-3472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TYLER",
        "first_name": "LINA",
        "middle_name": "MARCELA",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-18",
        "last_updated": "2019-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "4499",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bluffton, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 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.

Verify at the official NPI Registry.