DR. TYLER M MCKINNISS D.C.
NPI 1720451040
Chiropractor in South Daytona, FL

Active since November 09, 2015
1614 S RIDGEWOOD AVE STE 200, SOUTH DAYTONA, FL 32119(386) 265-5385(386) 872-4027 Get Directions Write a Review

NPPES record last updated: June 25, 2018. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jun 25, 2018, Jan 21, 2016, Nov 9, 2015 (3 updates tracked since 2015).

About Dr. Tyler M Mckinniss D.c. NPPES

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

DR. TYLER M MCKINNISS D.C. (NPI 1720451040) is an individual chiropractor in South Daytona, Florida, licensed in Florida (11768) and active in the NPI registry since November 2015.

NPPES Registry Identity

NPI1720451040
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. TYLER M MCKINNISSCredential: D.C.
Location Address1614 S RIDGEWOOD AVE STE 200South Daytona, FL 32119
Mailing Address5400 S Williamson Blvd Apt 3-310Port Orange, FL 32128-6539 · (304) 482-1436
Fax(386) 872-4027
Sole ProprietorYes
Enumeration DateNovember 9, 2015
Last NPPES UpdateJune 25, 20183 updates tracked since enumeration
NPI 1720451040 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License Licensed in FL · 11768
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.
1614 S RIDGEWOOD AVE STE 200, South Daytona, FL 32119

Accepted Insurance

Other Providers at the Same Location NPPES

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

Chiropractor
1614 S RIDGEWOOD AVE STE 200
SOUTH DAYTONA, FL 32119

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 Mckinniss's NPI number?

The NPI number for Tyler Mckinniss is 1720451040. It was assigned to this individual provider in the NPPES registry on November 9, 2015.

Where is Tyler Mckinniss located?

Tyler Mckinniss practices at 1614 S Ridgewood Ave Ste 200, South Daytona, FL 32119. The listed phone number is (386) 265-5385.

What is Tyler Mckinniss's specialty?

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

What insurance does Tyler Mckinniss accept?

Health plans from Providence Health Plan and Wellpoint list Tyler Mckinniss 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 Tyler Mckinniss was last updated on June 25, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.