Individual provider Active NPI

Tyler Hove, D.C.

  • Chiropractor
  • Kent, WA
National Provider Identifier
1881052884
Registry record updated Dec 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
33458 Issued in CA
Practice address
417 Ramsay Way Ste 113
Kent, WA 98032
Phone
(253) 859-0100
Fax
(253) 373-9600
NPI assigned
Feb 4, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 33458 CA Primary

Addresses

Primary practice location

417 Ramsay Way Ste 113
Kent, WA 98032

Mailing address

417 Ramsay Way Ste 113
Kent, WA 98032-4502
Phone (253) 859-0100

Other practice location 1

215 Union Ave Apt 336
Campbell, CA 95008-3504
Phone (253) 720-6904

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160726003144 WA Practitioner - Chiropractic 2062705106 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - West Sunnyvale, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

417 Ramsay Way
Suite 113
Kent, WA 98032-4502
Phone (253) 859-0100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
33458CAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Kent Station Wellness LLC Chiropractor CurrentSince Aug 13, 2018 Accepting new patients

Locations

417 Ramsay Way
Ste 113
Kent, WA 98032
Phone (253) 859-0100

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": "1454544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545264000000",
    "number": "1881052884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "417 RAMSAY WAY STE 113",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980324502",
            "telephone_number": "253-859-0100",
            "fax_number": "253-373-9600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "417 RAMSAY WAY STE 113",
            "city": "KENT",
            "state": "WA",
            "postal_code": "98032",
            "telephone_number": "253-859-0100",
            "fax_number": "253-373-9600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "215 Union Ave Apt 336",
            "address_purpose": "LOCATION",
            "city": "Campbell",
            "state": "CA",
            "postal_code": "950083504",
            "country_code": "US",
            "telephone_number": "253-720-6904",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOVE",
        "first_name": "TYLER",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-02-04",
        "last_updated": "2018-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "33458",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kent, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2018; 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.