Individual provider Active NPI

Tyler Celey-Butlin, DC

  • Chiropractor
  • Winnemucca, NV
National Provider Identifier
1952912172
Registry record updated Jun 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
6092 Issued in OR
Practice address
26 E Haskell St Ste D
Winnemucca, NV 89445-3578
Phone
(775) 258-0686
NPI assigned
Aug 11, 2020
Last updated
Jun 11, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 6092 OR Primary

Addresses

Primary practice location

26 E Haskell St Ste D
Winnemucca, NV 89445-3578

Mailing address

26 E Haskell St Ste D
Winnemucca, NV 89445-3578

Other practice location 1

11507 SW Shilo Ln Ste E
Portland, OR 97225-5923
Phone (510) 634-4950

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250820000433 NV Practitioner - Chiropractic 9931529914 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College - West, 2019
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

26 E Haskell St
Suite C
Winnemucca, NV 89445-3578
Phone (775) 258-0686

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6092ORMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Tyler Celey-Butlin, DC LLC Chiropractor CurrentSince Jun 30, 2025 Accepting new patients

Locations

26 E Haskell St
Ste C
Winnemucca, NV 89445
Phone (775) 258-0686

26 E Haskell St
Ste D
Winnemucca, NV 89445
Phone (775) 258-0686

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, 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": "1597104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749600000000",
    "number": "1952912172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 E HASKELL ST STE D",
            "city": "WINNEMUCCA",
            "state": "NV",
            "postal_code": "894453578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 E HASKELL ST STE D",
            "city": "WINNEMUCCA",
            "state": "NV",
            "postal_code": "894453578",
            "telephone_number": "775-258-0686"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11507 SW Shilo Ln Ste E",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972255923",
            "country_code": "US",
            "telephone_number": "510-634-4950",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CELEY-BUTLIN",
        "first_name": "TYLER",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-08-11",
        "last_updated": "2025-06-11",
        "certification_date": "2025-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "6092",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winnemucca, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2025; 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.