Tyler J McCormick, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

099801 Issued in IA

Practice address

8711 Windsor Pkwy Ste 7
Johnston, IA 50131-2296

Phone

(515) 783-5581

NPI assigned

Mar 11, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Active Wellness Chiropractic and Rehabilitation, LLC.Group PAC ID 5395883417, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Active Wellness Chiropractic & Rehabilitation, LLC.

  • Chiropractor
  • Johnston, IA
  • NPI 1417180829
  Medicare reassignment Care Compare group NPD
• Complete Home Wellness

  • Physical Therapist
  • Ankeny, IA
  • NPI 1881028504
  NPD (past)

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

{
    "created_epoch": "1583884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583884800000",
    "number": "1962037895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8711 WINDSOR PKWY STE 7",
            "city": "JOHNSTON",
            "state": "IA",
            "postal_code": "501312296",
            "telephone_number": "515-783-5581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8711 WINDSOR PKWY STE 7",
            "city": "JOHNSTON",
            "state": "IA",
            "postal_code": "501312296",
            "telephone_number": "515-783-5581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCORMICK",
        "first_name": "TYLER",
        "middle_name": "J",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-11",
        "last_updated": "2020-03-11",
        "certification_date": "2020-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "099801",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebekah J Martin
• Elizabeth Renee Mathews, MA, CCC-SLP
• Kathleen Elizabeth McCabe
• Becky Ann McCarl, RDH
• Rebecca Nicole McClellan, MA, OTR/L
• Kaitlyn Kristine McDonald
• Brianna K McDonough, SLP
• Karlin Kathryn McGarvey, M.S. CF-SLP
• Kathleen Ann McGreal-Mitchell, OT/L
• Molly Catherine McGreal-Stence, OT/L

• Chiropractor in Johnston, IA
• Providers in Johnston, IA by specialty
• Chiropractor in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2020; 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.