TYLER JAMES PETERSON (NPI# 1780042036) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780042036 |
| Entity Type | Individual |
| Full Name | TYLER JAMES PETERSON |
| Credential | D.C. |
| Practice Address |
8470 City Centre Dr Ste D Woodbury MN 55125-3356 |
| Practice Telephone | 6515710726 |
| Mailing Telephone | 6515710726 |
| Enumeration Date | 2016-02-02 |
| Last Update Date | 2016-02-02 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 6136 | MN | Chiropractic Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306074836 | Tyler Blaine Peterson | Dentist | 625 E. Nicollet Blvd., Suite 340, Burnsville, MN 55337 | 2009-06-23 |
| 1124643960 | Tyler Andrew Peterson | Student in an Organized Health Care Education/Training Program | 1150 N Indian Canyon Dr, Palm Springs, CA 92262-4872 | 2020-06-08 |
| 1093291700 | Tyler Peterson Peterson | Physical Therapy Assistant | 1334 N Whitman Ln Ste 100, Liberty Lake, WA 99019-6034 | 2018-07-16 |
| 1821523184 | Tyler Peterson | Chiropractor | 1302 W 7th St, Wayne, NE 68787-1692 | 2017-04-25 |
| 1467800243 | Tyler Alan Peterson | Family Medicine | 888 S Rancho Dr, Las Vegas, NV 89106-3810 | 2016-06-02 |
| 1639328784 | Tyler Jeffrey Peterson | Internal Medicine | 200 1st St Sw, Rochester, MN 55905-0001 | 2008-09-13 |
| Street Address |
8470 CITY CENTRE DR STE D |
| City | WOODBURY |
| State | MN |
| Zip Code | 55125-3356 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437518123 | Cornerstone Chiropractic Clinic LLC | Chiropractor | 8470 City Centre Dr Ste D, Woodbury, MN 55125-3356 | 2016-02-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487268728 | Haley Kirkpatrick | Behavior Technician | 721 Commerce Dr., Woodbury, MN 55125 | 2020-09-03 |
| 1689218091 | Jordan Schmidt | Student in an Organized Health Care Education/Training Program | 1740 Welr Dr. #24, Woodbury, MN 55125 | 2019-10-30 |
| 1629619580 | Mackenzie Ann Funke | Occupational Therapist | 721 Commerce Drivve, Woodbury, MN 55125 | 2019-10-02 |
| 1700342029 | Darcy Stivland | Counselor | 1811 Weir Drive #270, Woodbury, MN 55125 | 2019-02-11 |
| 1235609884 | Elizabeth Kennedy Ward | Psychologist | 7582 Currell Blvd Suite 208, Woodbury, MN 55125 | 2018-11-27 |
| 1528573664 | Cory Lee Baumeister | Counselor | 652 Bielenberg Dr, Woodbury, MN 55125 | 2017-12-12 |
| 1760918239 | David James Knight | Dentist | 9950 Valley Creek Rd Ste 150, Woodbury, MN 55125 | 2017-05-03 |
| 1366988826 | Mark Your Home Health Care LLC | Home Health | 6053 Hudson Road, Suite 200, Woodbury, MN 55125 | 2017-01-09 |
| 1518415736 | Kubei Holdings Group LLC | Case Management | 6043 Hudson Rd Ste 340, Saint Paul, MN 55125 | 2016-09-16 |
| 1285087072 | Adrian Jung | Occupational Therapist | 155 Radio Drive, Woodbury, MN 55125 | 2016-07-18 |
| Find all providers in zip 55125 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487293981 | Empower Health Chiropractic | Chiropractor | 670 Commerce Dr Ste 110, Woodbury, MN 55125-9210 | 2019-12-31 |
| 1023670684 | N Y Prohealth Chiropractic P C | Chiropractor | 100 Cypress Dr, Woodbury, NY 11797-1522 | 2019-07-03 |
| 1205303997 | Laser Therapy Body Inc | Chiropractor | 313 W Main St Ste C, Woodbury, TN 37190-1144 | 2018-10-31 |
| 1770006983 | Logan Thompson | Chiropractor | 10631 Pond Curve, Woodbury, MN 55129 | 2017-07-19 |
| 1790143220 | Drew Ebel | Chiropractor | 8147 Globe Dr, Suite 100, Woodbury, MN 55125-3379 | 2016-01-28 |
| 1558727842 | Ashley Kroneberger | Chiropractor | 2110 Eagle Creek Ln, Suite 400, Woodbury, MN 55129-3205 | 2016-01-03 |
| 1710355334 | Melissa Beck | Chiropractor | 226 Main St N, Woodbury, CT 06798-2918 | 2015-09-14 |
| 1124413893 | Ae Chiropractic Pa | Chiropractor | 683 Bielenberg Dr Ste 104, Woodbury, MN 55125-1704 | 2015-03-31 |
| 1437596350 | Daniel Dino Cianni | Chiropractor | 675 Commons Dr, Woodbury, MN 55125-8880 | 2013-06-01 |
| 1851639181 | Aaron Michael Erhardt | Chiropractor | 1811 Weir Dr Ste 140, Woodbury, MN 55125-2284 | 2013-01-21 |
| Find all providers in WOODBURY | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.