D. Tyler Dennison, D.C,

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038011782 Issued in IL

Practice address

303 S Commercial St Ste 10
Harrisburg, IL 62946-2125

Phone

(618) 252-5555

Fax

(618) 252-2279

NPI assigned

Oct 7, 2010

Last updated

Mar 28, 2012By the provider in NPPES

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 IL

Enrollment records 1

Specialty

Chiropractic

Education

Logan College of Chiropractic, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Integrated Health of Southern Illinois LTDGroup PAC ID 2365401122, 23 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: damien.dennison.1@26231.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/26231/brand/1/csg/1/fhir/r4

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.

• Integrated Health of Southern Illinois, LTD.

  • Sports Medicine (Family Medicine) Physician
  • Harrisburg, IL
  • NPI 1982738274

  Chiropractor

  Medicare reassignment Care Compare group NPD
• Integrated Health of Southern Illinois

  • Family Medicine Physician
  • Carterville, IL
  • NPI 1790235497

  Chiropractor

  NPD

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

{
    "created_epoch": "1286409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332892800000",
    "number": "1962711085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 S COMMERCIAL ST STE 10",
            "city": "HARRISBURG",
            "state": "IL",
            "postal_code": "629462125",
            "telephone_number": "618-252-5555",
            "fax_number": "618-252-2279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 S COMMERCIAL ST STE 10",
            "city": "HARRISBURG",
            "state": "IL",
            "postal_code": "629462125",
            "telephone_number": "618-252-5555",
            "fax_number": "618-252-2279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DENNISON",
        "first_name": "D. TYLER",
        "credential": "D.C,",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-10-07",
        "last_updated": "2012-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038011782",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deaconess Illinois Clinic, Inc (Deaconess Illinois Clinic)
• Deaconess Illinois Specialty Clinic, Inc. (Deaconess IL Specialty 303 Commercial St)
• Deaconess Illinois Specialty Clinic, Inc. (Deaconess IL Specialty Express 716 Commercial St)
• Deaconess Regional Healthcare Services Illinois Inc (Deaconess Regional Transport and Logistics LLC)
• Leanne H Deneal, PA-C
• Moises B. Domingo
• Dr. Michael J. Gearing D.D.S. Inc
• Egyptian Health Department
• Egyptian Health Department
• Egyptian Health Department

• Chiropractor in Harrisburg, IL
• Providers in Harrisburg, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 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.