Individual provider Active NPI

Tyler William Simpson, DC

  • Chiropractor
  • Castle Rock, CO
National Provider Identifier
1851957237
Registry record updated May 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
34440 Issued in CA
Practice address
862 W Happy Canyon Rd Ste 100
Castle Rock, CO 80108-3910
Phone
(720) 612-4386
NPI assigned
May 11, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 34440 CA Primary
Chiropractor 111N00000X CHR0008703 CO

Addresses

Primary practice location

862 W Happy Canyon Rd Ste 100
Castle Rock, CO 80108-3910

Mailing address

862 W Happy Canyon Rd Ste 100
Castle Rock, CO 80108-3910
Phone (720) 612-4386

Other practice location 1

2900 Bristol St Ste C105
Costa Mesa, CA 92626-5944
Phone (760) 505-6166

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, CO2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200120000953 CA Practitioner - Chiropractic 6800221920
I20240701003026 CO Practitioner - Chiropractic 6800221920

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CHR0008703COMDChiropractor
34440CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Simpson Chiropractic Oc PC Chiropractor Current Accepting new patients

Locations

2900 Bristol St
Ste C105
Costa Mesa, CA 92626
Phone (714) 557-9454

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": "1557532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714953600000",
    "number": "1851957237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "862 W HAPPY CANYON RD STE 100",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801083910",
            "telephone_number": "720-612-4386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "862 W HAPPY CANYON RD STE 100",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801083910",
            "telephone_number": "720-612-4386"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2900 Bristol St Ste C105",
            "address_purpose": "LOCATION",
            "city": "Costa Mesa",
            "state": "CA",
            "postal_code": "926265944",
            "country_code": "US",
            "telephone_number": "760-505-6166",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIMPSON",
        "first_name": "TYLER",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-05-11",
        "last_updated": "2024-05-06",
        "certification_date": "2024-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "34440",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "CHR0008703",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Castle Rock, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.