Tyler Ryan Copenhaver, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH60304367 Issued in WA

Practice address

319 East Main Ave
Brewster, WA 98812-1731

Phone

(509) 689-3516

Fax

(509) 689-3516

NPI assigned

Oct 9, 2012

Last updated

Jul 26, 2019By the provider in NPPES

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Brewster Chiropractic Center

  • Chiropractor
  • Brewster, WA
  • NPI 1164768776
  NPD Authorized official
• Synergy Chiropractic LLC

  • Health Service Clinic/Center
  • Wenatchee, WA
  • NPI 1205188539
  NPD Authorized official
• Lakeland Chiropractic Clinic Inc

  • Chiropractor
  • Chelan, WA
  • NPI 1407812423
  NPD (past)

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

{
    "created_epoch": "1349740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564099200000",
    "number": "1861744260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 N GOLD CREEK RD",
            "city": "CARLTON",
            "state": "WA",
            "postal_code": "988149015",
            "telephone_number": "509-885-0512",
            "fax_number": "509-689-3516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "319 EAST MAIN AVE",
            "city": "BREWSTER",
            "state": "WA",
            "postal_code": "988121731",
            "telephone_number": "509-689-3516",
            "fax_number": "509-689-3516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COPENHAVER",
        "first_name": "TYLER",
        "middle_name": "RYAN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-10-09",
        "last_updated": "2019-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH60304367",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Central Washington Gastroenterology, PC
• Central Washington Health Services Association (Confluence Health Brewster Clinic)
• Central Washington Medical Associates
• Central Washington Sleep Diagnostic Center, PLLC
• Erin Cooley, MD
• Tad Leon Davis, MD
• Nicole Brooke Demarco, OD
• Belinda Clare Denchfield, CMSRN
• Victoria Malloch Desalvo, ARNP
• Gregory Alan Dicamillo, M.D.

• Chiropractor in Brewster, WA
• Providers in Brewster, WA by specialty
• Chiropractor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2019; 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.