Individual provider Active NPI

Tyler Rose, DC

  • Chiropractor
  • Kansas City, KS
National Provider Identifier
1922850353
Registry record updated Apr 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0106323 Issued in KS
Practice address
8437 State Ave
Kansas City, KS 66112-1842
Phone
(913) 299-0276
NPI assigned
Apr 1, 2024
Last updated
Apr 1, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 0106323 KS Primary

Addresses

Primary practice location

8437 State Ave
Kansas City, KS 66112-1842

Mailing address

8437 State Ave Ste a
Kansas City, KS 66112-1851

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240409000687 KS Practitioner - Chiropractic 4981042017 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Cleveland Chiropractic College - Kansas City, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Andrew L Harding DC PAGroup PAC ID 6406742436, 3 clinicians

Practice addresses (Care Compare)

8437 State Ave
Suite a
Kansas City, KS 66112-1851
Phone (913) 299-0276

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0106323KSMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Andrew L Harding DC PA Chiropractor CurrentSince Apr 2, 2024 Accepting new patients
Spinal Care Group Chiropractor PastSince Apr 2, 2024 Accepting new patients

Locations

8437 State Ave
Ste A
Kansas City, KS 66112
Phone (913) 299-0276

Organizations & group practices 2

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": "1711929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711929600000",
    "number": "1922850353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8437 STATE AVE STE A",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661121851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8437 STATE AVE",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661121842",
            "telephone_number": "913-299-0276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSE",
        "first_name": "TYLER",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-04-01",
        "last_updated": "2024-04-01",
        "certification_date": "2024-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KS",
            "license": "0106323",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2024; 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.