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LOGAN TYLER NORTH D.C.
NPI 1013424357
Chiropractor in O Fallon, MO

Active since January 09, 2018Accepts Medicare Assignment
109 CHURCH ST, O FALLON, MO 63366(636) 240-2225(636) 281-5377 Get Directions Write a Review

NPPES record last updated: October 19, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 19, 2020, Jan 9, 2018 (2 updates tracked since 2018).

About Logan Tyler North D.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LOGAN TYLER NORTH D.C. (NPI 1013424357) is an individual chiropractor in O Fallon, Missouri, licensed in Missouri (2020035024) and active in the NPI registry since January 2018. He is a graduate of Logan College Of Chiropractic (2017).

NPPES Registry Identity

NPI1013424357
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameLOGAN TYLER NORTHCredential: D.C.
Location Address109 CHURCH STO Fallon, MO 63366-2894
Mailing Address109 Church StO Fallon, MO 63366-2894 · (636) 240-2225
Phone(636) 240-2225
Fax(636) 281-5377
Sole ProprietorYes
Medical School CMSLogan College Of ChiropracticGraduated 2017
Enumeration DateJanuary 9, 2018
Last NPPES UpdateOctober 19, 20202 updates tracked since enumeration
NPPES CertifiedOctober 19, 2020
✔ NPI 1013424357 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
Licenses✔ Licensed in MO · 2020035024✔ Licensed in KY · 5562
Definition
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.
109 CHURCH ST, O Fallon, MO 63366
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Other Identifiers 2

Other5562KY · State License Board
Other2020035024MO · State License Board

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Logan Tyler North D.c. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3971863655
PECOS Enrollment IDI20210216002062

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JERRY TABAK LCSW
Social Worker (Clinical)
109 CHURCH ST, SUITE 105
O FALLON, MO 63366
St. Charles County (636) 294-0015
DR. MARK E STUCKEY D.C.
Chiropractor
109 CHURCH ST
O FALLON, MO 63366
St. Charles County (636) 240-2225
SUE ELLISON
Counselor
109 CHURCH ST
O FALLON, MO 63366
St. Charles County (314) 540-1759
NO LIMITS CHIROPRACTIC
Chiropractor
109 CHURCH ST
O FALLON, MO 63366
St. Charles County (636) 240-2225
NO LIMITS CHIROPRACTIC INC
Chiropractor
109 CHURCH ST
O FALLON, MO 63366
St. Charles County (636) 240-2225
COUNSELING ST. CHARLES, LLC
Case Management
109 CHURCH ST, SUITE 105
O FALLON, MO 63366
St. Charles County (636) 294-0015

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Logan North's NPI number?

The NPI number for Logan North is 1013424357. It was assigned to this individual provider in the NPPES registry on January 9, 2018.

Where is Logan North located?

Logan North practices at 109 Church St, O Fallon, MO 63366. The listed phone number is (636) 240-2225.

What is Logan North's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Logan North enrolled in Medicare?

Yes. Logan North is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Logan North accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 3 other insurers list Logan North as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Logan North was last updated on October 19, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.