DR. TYLER M MCKINNISS (NPI# 1720451040) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720451040 |
| Entity Type | Individual |
| Full Name | DR. TYLER M MCKINNISS |
| Credential | D.C. |
| Practice Address |
1614 S Ridgewood Ave Ste 200 South Daytona FL 32119 |
| Mailing Address |
5400 S Williamson Blvd Apt 3-310 Port Orange FL 32128-6539 |
| Practice Telephone | 3862655385 |
| Practice Fax Number | 3868724027 |
| Mailing Telephone | 3044821436 |
| Enumeration Date | 2015-11-09 |
| Last Update Date | 2018-06-25 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 11768 | FL | Chiropractic Providers |
| Street Address |
1614 S RIDGEWOOD AVE STE 200 |
| City | SOUTH DAYTONA |
| State | FL |
| Zip Code | 32119 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710509476 | Peaceful Healing Solutions, LLC | Social Worker | 1655 Restarrick Ave, South Daytona, FL 32119 | 2020-05-15 |
| 1124570585 | Kunning Li | Acupuncturist | 2135 S Ridgewood Ave, South Daytona, FL 32119 | 2016-11-01 |
| 1821428954 | Jesse Robert Hodges Jr. | Chiropractor | 1780 S Nova Rd Ste 4, South Daytona, FL 32119 | 2013-11-27 |
| 1831347350 | Pamela Marie Lavigna | Counselor | 1635 S. Ridgewood Ave, Suite 225, South Daytona, FL 32119 | 2008-09-09 |
| 1922214279 | Karen Sue Pulaski | Physical Therapist | 401 Venture Ave. Suite C, South Daytona, FL 32119 | 2007-05-15 |
| 1245369180 | Cathryn C Cucchiaro | Marriage & Family Therapist | 2001 S Ridgewood Ave, South Daytona, FL 32119 | 2007-03-05 |
| 1629136775 | Dennis Andrew Kuack | Dentist | 2644 S Ridgewood Ave, South Daytona, FL 32119 | 2006-12-04 |
| 1639246630 | Robert J Amara | Chiropractor | 2750 S Ridgewood Ave #c, South Daytona, FL 32119 | 2006-11-29 |
| 1306910385 | Filutowski Eye Institute Pa | Clinic/Center | 110 Yorktowne Drive, Daytona Beach, FL 32119 | 2006-11-20 |
| 1023189693 | Your Dentist Inc | Dentist | 310 Bellewood Ave, South Daytona, FL 32119 | 2006-11-13 |
| Find all providers in zip 32119 | ||||
| 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 |
|---|---|---|---|---|
| 1295271344 | Rachel Nakayama | Chiropractor | 2330 S Nova Rd, South Daytona, FL 32119-2514 | 2017-01-13 |
| 1689119125 | Amara Chiropractic Center | Chiropractor | 2445 S Ridgewood Ave, South Daytona, FL 32119-3077 | 2016-12-19 |
| 1932641636 | Tonya Julayne Dacko | Chiropractor | 2006 S Ridgewood Ave, South Daytona, FL 32119-2241 | 2016-11-11 |
| 1447650759 | Susan Lee Vigo | Chiropractor | 2044 Magnolia Ave, South Daytona, FL 32119-2553 | 2014-08-25 |
| 1841621208 | Paul Philip Farruggio | Chiropractor | 2137 S Ridgewood Ave, South Daytona, FL 32119-3015 | 2013-12-10 |
| 1609211200 | Taylor Jourdan Levick | Chiropractor | 949 Beville Rd, D-5, South Daytona, FL 32119-1705 | 2013-05-08 |
| 1538413505 | Joshua David Carreiro | Chiropractor | 1780 S. Nova Road, Suite 4, South Daytona, FL 32119-1777 | 2012-10-30 |
| 1881957496 | James Earl Clapprood | Chiropractor | 2741 S Ridgewood Ave, South Daytona, FL 32119-3539 | 2012-06-19 |
| 1265750863 | Proscia Chiropractic Associates Lp | Chiropractor | 701 Beville Rd, South Daytona, FL 32119-1823 | 2010-05-07 |
| 1619105756 | Eley Chiropractic LLC | Chiropractor | 687 Beville Rd Ste B, South Daytona, FL 32119-1970 | 2009-06-28 |
| Find all providers in SOUTH DAYTONA | ||||
| City | SOUTH DAYTONA |
| Zip Code | 32119 |
Please comment or provide details below to improve the information on DR. TYLER M MCKINNISS.
| 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.