TYLER JORDAN DEPAULIS (NPI# 1871132308) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871132308 |
| Entity Type | Individual |
| Full Name | TYLER JORDAN DEPAULIS |
| Credential | DC |
| Practice Address |
12 Long Lake Rd Ste 19 Mahtomedi MN 55115-1200 |
| Practice Telephone | 6517972901 |
| Mailing Telephone | 6517972901 |
| Enumeration Date | 2020-01-01 |
| Last Update Date | 2020-01-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 6680 | MN | Chiropractic Providers |
| Street Address |
12 LONG LAKE RD STE 19 |
| City | MAHTOMEDI |
| State | MN |
| Zip Code | 55115-1200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235742115 | Berger Built Construction Co. Inc. | Contractor | 217 Maple Street, Mahtomedi, MN 55115 | 2020-08-28 |
| 1730471517 | Erin Jeanine Schmidt | Family Medicine | 700 Wildwood Rd, Mahtomedi, MN 55115 | 2011-05-11 |
| 1770710972 | Perri Lynn Kauls | Dentist | 12 Long Lake Road, Number 12, Mahtomedi, MN 55115 | 2009-06-15 |
| 1538218284 | Mahtomedi Natural Care Center | Chiropractor | 1526 Mahtomedi Ave, Mahtomedi, MN 55115 | 2007-01-10 |
| 1619025855 | Gina Christine Nelson | Chiropractor | 1526 Mahtomedi Avenue, Mahtomedi, MN 55115 | 2007-01-06 |
| 1295824126 | City of Mahtomedi | Ambulance | 800 Stillwater Rd, Mahtomedi, MN 55115 | 2006-10-11 |
| 1730125063 | Richard Winfield Copeland Jr. | Dentist | 130 Hickory St, Mahtomedi, MN 55115 | 2006-06-22 |
| 1922475920 | Group Health Plan, Inc. | Family Medicine | 700 Wildwood Rd, Mahtomedi, MN 55115 | 2015-08-25 |
| 1205214525 | Brittany Greeder | Specialist/Technologist | 9960 Justen Trl N, Mahtomedi, MN 55115-1328 | 2015-05-07 |
| 1497743454 | Am Schneider Pa | Pharmacy | 357 Quail St, Mahtomedi, MN 55115-1455 | 2005-10-12 |
| Find all providers in zip 55115 | ||||
| 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 |
|---|---|---|---|---|
| 1003106048 | Oak Hill Chiropractic P.C. | Chiropractor | 12 Long Lake Rd, Suite 19, Mahtomedi, MN 55115-6814 | 2011-04-11 |
| 1538218284 | Mahtomedi Natural Care Center | Chiropractor | 1526 Mahtomedi Ave, Mahtomedi, MN 55115 | 2007-01-10 |
| 1619025855 | Gina Christine Nelson | Chiropractor | 1526 Mahtomedi Avenue, Mahtomedi, MN 55115 | 2007-01-06 |
| 1265520274 | Steven Hagstrom | Chiropractor | 814 Mahtomedi Ave, Mahtomedi, MN 55115-1730 | 2006-10-11 |
| 1073067401 | Noel Fredericksen | Chiropractor | 55 Elm St, Mahtomedi, MN 55115-1614 | 2016-08-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609477785 | Samantha Nielsen | Chiropractor | 482 Snelling Ave S, Saint Paul, MN 55116-1501 | 2020-11-04 |
| 1063013340 | Plymouth Chirocenter LLC | Chiropractor | 3900 Vinewood Ln N Ste 19, Plymouth, MN 55441-1155 | 2020-11-04 |
| 1093315855 | Today Evolved Ltd. | Chiropractor | 321 Broadway Ave, St Paul Park, MN 55071-1841 | 2020-10-29 |
| 1417556796 | Nicole Frogner Koshiol | Chiropractor | 11901 Highway 65 Ne, Blaine, MN 55434-3911 | 2020-10-19 |
| 1417554627 | Austin Montgomery Gray | Chiropractor | 4229 West Frontage Rd Nw, Suite 4, Rochester, MN 55901 | 2020-10-01 |
| 1659988848 | Amanda Shorter | Chiropractor | 669 Winnetka Ave N Ste 202, Golden Valley, MN 55427-4576 | 2020-09-30 |
| 1700499308 | Devries Spine Care Pllc | Chiropractor | 4748 Chicago Ave Ste 10, Minneapolis, MN 55407-4311 | 2020-08-25 |
| 1316559024 | Lashonda Jung | Chiropractor | 8112 Minnetonka Blvd, St Louis Park, MN 55426-3022 | 2020-08-24 |
| 1699384198 | Arrow Health Chiropractic, P.a. | Chiropractor | 1000 Nicollet Mall # 260, Minneapolis, MN 55403-2542 | 2020-07-30 |
| 1366051278 | Altrui Sc | Chiropractor | 11985 Technology Dr Ste 120, Eden Prairie, MN 55344-3614 | 2020-07-27 |
| Find all providers with the same taxonomy | ||||
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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.