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DR. TYLER CLARK CHIROPRACTOR
NPI 1205426327
Chiropractor in Canton, NY

Active since January 22, 2021Accepts Medicare Assignment
3 REMINGTON AVE SUITE 5, CANTON, NY 13617(315) 714-2033 Get Directions Write a Review

NPPES record last updated: November 14, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 14, 2024, Jun 16, 2023, Apr 12, 2021 and 1 more (4 updates tracked since 2021).

About Dr. Tyler Clark Chiropractor NPPES

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

DR. TYLER CLARK CHIROPRACTOR (NPI 1205426327) is an individual chiropractor in Canton, New York, licensed in New York (013335-01) and active in the NPI registry since January 2021. He maintains a secondary practice location in Heuvelton and is a graduate of New York Chiropractic College (2018).

NPPES Registry Identity

NPI1205426327
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. TYLER CLARKCredential: CHIROPRACTOR
Location Address3 REMINGTON AVE SUITE 5Canton, NY 13617-3722
Mailing Address3 Remington Ave Ste 5Canton, NY 13617-3603 · (315) 714-2033
Phone(315) 714-2033
Sole ProprietorYes
Medical School CMSNew York Chiropractic CollegeGraduated 2018
Enumeration DateJanuary 22, 2021
Last NPPES UpdateNovember 14, 20244 updates tracked since enumeration
NPPES CertifiedNovember 14, 2024
✔ NPI 1205426327 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
Licenses✔ Licensed in NY · 013335-01✔ Licensed in NY · X013335-01
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.
3 REMINGTON AVE SUITE 5, Canton, NY 13617
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Secondary Practice Location 1

Location 194 North State StreetHeuvelton, NY 13654-4118 · Phone (315) 714-2033 · Fax (315) 714-2089

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. Tyler Clark Chiropractor 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 ID3678981115
PECOS Enrollment IDI20210421001555

Areas of Expertise CMS Part B claims

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, 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.
73 services28 patients

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 Tyler Clark's NPI number?

The NPI number for Tyler Clark is 1205426327. It was assigned to this individual provider in the NPPES registry on January 22, 2021.

Where is Tyler Clark located?

Tyler Clark practices at 3 Remington Ave Suite 5, Canton, NY 13617. The listed phone number is (315) 714-2033.

What is Tyler Clark's specialty?

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

Is Tyler Clark enrolled in Medicare?

Yes. Tyler Clark 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 Tyler Clark was last updated on November 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.