Active NPI
Darrin Phillip Tyson, DC
- Chiropractor
- Riverview, FL
National Provider Identifier
1851499909
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH8966
- Practice address
- 11974 Balm Riverview Rd
Riverview, FL 33569-6601 - Phone
- (813) 443-5223
- NPI assigned
- Sep 20, 2006
- Last updated
- Mar 27, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CH8966 | FL | Primary |
Addresses
Primary practice location
11974 Balm Riverview Rd
Riverview, FL 33569-6601
Mailing address
920 W, Lumsden Rd
Brandon, FL 33511-6281
Phone (813) 413-8465
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 22086 | Other | FL | BLUE CROSS BLUE SHEILDS |
| AJ095 | Other | FL | PTAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Logan College of Chiropractic, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
11974 Balm Riverview Rd
Riverview, FL 33569-6601
Phone (813) 443-5223
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| World Chiropractic Center Inc | Chiropractor | Past | Accepting new patients |
| My Family Chiropractic, Inc. | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Chiropractor
- Riverview, FL
- NPI 1275904989
-
- Chiropractor
- Brandon, FL
- NPI 1588732978
-
- Exclusive Provider Organization
- Riverview, FL
- NPI 1851520795
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1553644800000",
"number": "1851499909",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "920 W, LUMSDEN RD",
"city": "BRANDON",
"state": "FL",
"postal_code": "335116281",
"telephone_number": "813-413-8465",
"fax_number": "813-413-8466"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11974 BALM RIVERVIEW RD",
"city": "RIVERVIEW",
"state": "FL",
"postal_code": "335696601",
"telephone_number": "813-443-5223"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TYSON",
"first_name": "DARRIN",
"middle_name": "PHILLIP",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-20",
"last_updated": "2019-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "FL",
"license": "CH8966",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHEILDS",
"identifier": "22086",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PTAN",
"identifier": "AJ095",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Riverview, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 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.