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DR. TYSON LAVERNE KLINEDINST D.C.
NPI 1053635318
Chiropractor in Canton, IL

Active since March 16, 2010Accepts Medicare Assignment
106 MARTIN AVE, CANTON, IL 61520(309) 647-8030(309) 647-5902 Get Directions Write a Review

NPPES record last updated: January 6, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Tyson Laverne Klinedinst D.c. NPPES

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

DR. TYSON LAVERNE KLINEDINST D.C. (NPI 1053635318) is an individual chiropractor in Canton, Illinois, licensed in Illinois (038011647) and active in the NPI registry since March 2010. He is a graduate of Palmer College Chiropractic - Davenport (2010).

NPPES Registry Identity

NPI1053635318
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. TYSON LAVERNE KLINEDINSTCredential: D.C.
Location Address106 MARTIN AVECanton, IL 61520-2519
Mailing Address106 Martin AveCanton, IL 61520-2519 · (309) 647-8030 · Fax (309) 647-5902
Phone(309) 647-8030
Fax(309) 647-5902
Sole ProprietorYes
Medical School CMSPalmer College Chiropractic - DavenportGraduated 2010
Enumeration DateMarch 16, 2010
Last NPPES UpdateJanuary 6, 2015
✔ NPI 1053635318 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in IL · 038011647
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.
106 MARTIN AVE, Canton, IL 61520
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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

Dr. Tyson Laverne Klinedinst 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 ID8921123654
PECOS Enrollment IDI20100917000352

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Chiropractic manipulative treatment, 3-4 spinal regions 98941
Chiropractic manipulative treatment for 3-4 spinal regions involves a trained professional applying controlled force to specific areas of your spine. This can help alleviate pain, improve physical function, and support your body's natural healing process.
1,304 services171 patients
Chiropractic manipulative treatment, 1-2 spinal regions 98940
Chiropractic manipulative treatment focuses on adjusting your spine to improve your body's physical function. In this service, a chiropractor applies controlled force to 1-2 spinal regions. This helps to restore mobility and alleviate discomfort in those areas.
57 services21 patients

Other Providers at the Same Location NPPES 2

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

DR. RANDY LAVERNE KLINEDINST D.C.
Chiropractor
106 MARTIN AVE
CANTON, IL 61520
Fulton County (309) 647-8030
KLINEDINST CHIROPRACTIC, LLC
Chiropractor
106 MARTIN AVE
CANTON, IL 61520
Fulton County (309) 647-8030

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 Tyson Klinedinst's NPI number?

The NPI number for Tyson Klinedinst is 1053635318. It was assigned to this individual provider in the NPPES registry on March 16, 2010.

Where is Tyson Klinedinst located?

Tyson Klinedinst practices at 106 Martin Ave, Canton, IL 61520. The listed phone number is (309) 647-8030.

What is Tyson Klinedinst's specialty?

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

Is Tyson Klinedinst enrolled in Medicare?

Yes. Tyson Klinedinst 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.

When was this NPI record last updated?

The NPPES record for Tyson Klinedinst was last updated on January 6, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.