Active NPI
Tyler William Dombrowski, DC
- Chiropractor
- State College, PA
National Provider Identifier
1891324596
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC011542
- Practice address
- 450 Windmere Dr Ste 250
State College, PA 16801-7646 - Phone
- (814) 954-5095
- Fax
- (814) 308-8369
- NPI assigned
- Apr 4, 2020
- 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 | DC011542 | PA | Primary |
Addresses
Primary practice location
450 Windmere Dr Ste 250
State College, PA 16801-7646
Mailing address
450 Windmere Dr Ste 250
State College, PA 16801-7646
Phone (814) 954-5095
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | 1891104196 | Direct | |
| Other URL | Computer | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Twin Hills Chiropractic Health Center, P.C. | Chiropractor | Past | Accepting new patients |
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.
-
- Chiropractor
- Muncy, PA
- NPI 1770565368
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1585958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728950400000",
"number": "1891324596",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "450 WINDMERE DR STE 250",
"city": "STATE COLLEGE",
"state": "PA",
"postal_code": "168017646",
"telephone_number": "814-954-5095",
"fax_number": "814-308-8369"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "450 WINDMERE DR STE 250",
"city": "STATE COLLEGE",
"state": "PA",
"postal_code": "168017646",
"telephone_number": "814-954-5095",
"fax_number": "814-308-8369"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOMBROWSKI",
"first_name": "TYLER",
"middle_name": "WILLIAM",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-04-04",
"last_updated": "2024-10-15",
"certification_date": "2024-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "PA",
"license": "DC011542",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "1891104196",
"affiliation": "N",
"endpointDescription": "Reynoldsville Chiropractic Life Center, LLC",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "105 E Main St",
"city": "Reynoldsville",
"state": "PA",
"country_code": "US",
"postal_code": "158511244",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "Computer",
"affiliation": "N",
"endpointDescription": "Office",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "105 E Main St",
"city": "Reynoldsville",
"state": "PA",
"country_code": "US",
"postal_code": "158511244",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in State College, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.