Individual provider Active NPI

Tyler Hutcherson, DC

  • Chiropractor
  • Burien, WA
National Provider Identifier
1912538455
Registry record updated Feb 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH61033875 Issued in WA
Practice address
612 SW 152ND St
Burien, WA 98166-2213
Phone
(206) 244-1466
NPI assigned
Feb 3, 2020
Last updated
Feb 7, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH61033875 WA Primary

Addresses

Primary practice location

612 SW 152ND St
Burien, WA 98166-2213

Mailing address

612 SW 152ND St
Burien, WA 98166-2213
Phone (206) 244-1466

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210222001813 WA Practitioner - Chiropractic 4880009091 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Integrum Healthcare LLC CurrentSince Feb 9, 2020 Accepting new patients
RCC PS Chiropractor CurrentSince Feb 15, 2021 Accepting new patients
Moss Chiropractic PC Chiropractor PastSince Feb 9, 2020 Accepting new patients

Locations

612 SW 152nd St
Burien, WA 98166
Phone (206) 244-1466

4902 Tacoma Mall Blvd
Tacoma, WA 98409
Phone (253) 473-0300

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1580688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581033600000",
    "number": "1912538455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "612 SW 152ND ST",
            "city": "BURIEN",
            "state": "WA",
            "postal_code": "981662213",
            "telephone_number": "206-244-1466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "612 SW 152ND ST",
            "city": "BURIEN",
            "state": "WA",
            "postal_code": "981662213",
            "telephone_number": "206-244-1466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUTCHERSON",
        "first_name": "TYLER",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-02-03",
        "last_updated": "2020-02-07",
        "certification_date": "2020-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH61033875",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burien, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2020; 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.