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DR. TYLER J CHANTHAVONG DC
NPI 1386433704
Chiropractor in Green Bay, WI

Active since May 02, 2025
2300 RIVERSIDE DR STE 122, GREEN BAY, WI 54301(920) 664-2559 Get Directions Write a Review

NPPES record last updated: May 5, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Tyler J Chanthavong Dc NPPES

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

DR. TYLER J CHANTHAVONG DC (NPI 1386433704) is an individual chiropractor in Green Bay, Wisconsin, licensed in Wisconsin (6307-12) and active in the NPI registry since May 2025.

NPPES Registry Identity

NPI1386433704
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. TYLER J CHANTHAVONGCredential: DC
Location Address2300 RIVERSIDE DR STE 122Green Bay, WI 54301-1900
Mailing Address803 Fredrick Ct Apt 10Howard, WI 54313-7994
Phone(920) 664-2559
Sole ProprietorYes
Enumeration DateMay 2, 2025
Last NPPES UpdateMay 5, 2025
NPPES CertifiedMay 5, 2025
✔ NPI 1386433704 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in WI · 6307-12
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.
2300 RIVERSIDE DR STE 122, Green Bay, WI 54301
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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 Chanthavong's NPI number?

The NPI number for Tyler Chanthavong is 1386433704. It was assigned to this individual provider in the NPPES registry on May 2, 2025.

Where is Tyler Chanthavong located?

Tyler Chanthavong practices at 2300 Riverside Dr Ste 122, Green Bay, WI 54301. The listed phone number is (920) 664-2559.

What is Tyler Chanthavong's specialty?

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

When was this NPI record last updated?

The NPPES record for Tyler Chanthavong was last updated on May 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.