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TRISTAN DANIEL PHILLIPS
NPI 1629576863
Chiropractor in Canton, OH

Active since January 23, 2018
807 30TH ST NE, CANTON, OH 44714(330) 491-0381 Get Directions Write a Review

NPPES record last updated: July 31, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Tristan Daniel Phillips NPPES

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

TRISTAN DANIEL PHILLIPS (NPI 1629576863) is an individual chiropractor in Canton, Ohio, licensed in Ohio (DC-05377) and active in the NPI registry since January 2018. He is a graduate of Other (2023).

NPPES Registry Identity

NPI1629576863
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameTRISTAN DANIEL PHILLIPS
Location Address807 30TH ST NECanton, OH 44714-1404
Mailing Address807 30th St NeCanton, OH 44714-1404 · (330) 491-0381
Phone(330) 491-0381
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateJanuary 23, 2018
Last NPPES UpdateJuly 31, 2024
NPPES CertifiedJuly 31, 2024
✔ NPI 1629576863 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in OH · DC-05377
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.
Also ListedSpecialist/Technologist · Athletic TrainerTaxonomy 2255A2300X
807 30TH ST NE, Canton, OH 44714
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, MedMutual, SummaCare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tristan Daniel Phillips is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4082147202
PECOS Enrollment IDI20241028000187

Medicare Billing Reassignment

Medicare enrollment records show Tristan Phillips reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mcbrearty Family & Sport Chiropractic,llc
Same address
Sports Physician
807 30TH ST NE
Canton, OH 44714
  • Reassigned Medicare billing, Ohio enrollment
  • 4 clinicians in this Medicare group
NPI 1437218492 (330) 491-0381

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 10

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

ERIC PEREZ D.C.
Chiropractor
807 30TH ST NE
CANTON, OH 44714
Stark County (330) 491-0381
MRS. MARIE LOUISE STOCKER LMT
Massage Therapist
807 30TH ST NE
CANTON, OH 44714
Stark County (330) 491-0381
MCBREARTY FAMILY & SPORT CHIROPRACTIC,LLC
Chiropractor (Sports Physician)
807 30TH ST NE
CANTON, OH 44714
Stark County (330) 491-0381
GINA BURKHART DC
Chiropractor
807 30TH ST NE
CANTON, OH 44714
Stark County (330) 491-0381
PATRICK JOSEPH MCBREARTY DC
Chiropractor
807 30TH ST NE
CANTON, OH 44714
Stark County (330) 491-0381
BRIDGET SCOBEE LMT
Massage Therapist
807 30TH ST NE
CANTON, OH 44714
Stark County (330) 491-0381
DR. ELISE KATHERINE GRASSE DC
Chiropractor
807 30TH ST NE
CANTON, OH 44714
Stark County (330) 491-0381
DR. SKYLER J STEVERS DC
Chiropractor
807 30TH ST NE
CANTON, OH 44714
Stark County (330) 491-0381

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 Tristan Phillips's NPI number?

The NPI number for Tristan Phillips is 1629576863. It was assigned to this individual provider in the NPPES registry on January 23, 2018.

Where is Tristan Phillips located?

Tristan Phillips practices at 807 30th St NE, Canton, OH 44714. The listed phone number is (330) 491-0381.

What is Tristan Phillips's specialty?

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

Is Tristan Phillips enrolled in Medicare?

Yes. Tristan Phillips is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Tristan Phillips's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tristan Phillips reassigns Medicare benefits to Mcbrearty Family & Sport Chiropractic,llc (Canton, OH). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Tristan Phillips's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tristan Phillips accept?

Health plans from Anthem Blue Cross and Blue Shield, MedMutual and SummaCare list Tristan Phillips 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 Tristan Phillips was last updated on July 31, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.