Tyson A Neill, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

11163 Issued in TX

Practice address

7410 Golden Pond PL Ste 200
Amarillo, TX 79121-1973

Phone

(806) 322-2073

Fax

(806) 322-2075

NPI assigned

Apr 9, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

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.

• Lone Star Family Chiropractic PLLC

  • Chiropractor
  • Amarillo, TX
  • NPI 1316218084
  Medicare reassignment NPD Authorized official
• Kershen Chiropractic PA

  • Chiropractor
  • Canyon, TX
  • NPI 1639281496
  NPD (past)
• Kershen Health Services

  • Chiropractor
  • Canyon, TX
  • NPI 1760931497
  NPD (past)

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

{
    "created_epoch": "1239235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326067200000",
    "number": "1902049786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7410 GOLDEN POND PL STE 200",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791211973",
            "telephone_number": "806-322-2073",
            "fax_number": "806-322-2075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7410 GOLDEN POND PL STE 200",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791211973",
            "telephone_number": "806-322-2073",
            "fax_number": "806-322-2075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEILL",
        "first_name": "TYSON",
        "middle_name": "A",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-04-09",
        "last_updated": "2012-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "11163",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8CA25001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Neighborhood Clinic NV LLC
• Neighborhood Clinic NV LLC
• Neill Contract Therapy Services (IPOW Physical Therapy)
• Derek Neill
• Russell Jullian Neill, PHARM.D.
• J William Neilson, MD
• Valerie Renee Neitsch
• Hasini Nelakurthi, DMD
• Ailsa J Nelson, RD, LD
• Chelsey Rae Nelson, RD, LD

• Chiropractor in Amarillo, TX
• Providers in Amarillo, TX by specialty
• Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2012; 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.