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TYLER JAMES PETERSON D.C.
NPI 1780042036
Chiropractor in Woodbury, MN

Active since February 02, 2016
8470 CITY CENTRE DR STE D, WOODBURY, MN 55125(651) 571-0726 Get Directions Write a Review

NPPES record last updated: February 2, 2016. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Tyler James Peterson D.c. NPPES

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

TYLER JAMES PETERSON D.C. (NPI 1780042036) is an individual chiropractor in Woodbury, Minnesota, licensed in Minnesota (6136) and active in the NPI registry since February 2016. He is a graduate of Life Chiropractic College (2015).

NPPES Registry Identity

NPI1780042036
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameTYLER JAMES PETERSONCredential: D.C.
Location Address8470 CITY CENTRE DR STE DWoodbury, MN 55125-3356
Mailing Address8470 City Centre Dr Ste DWoodbury, MN 55125-3356 · (651) 571-0726
Phone(651) 571-0726
Sole ProprietorYes
Medical School CMSLife Chiropractic CollegeGraduated 2015
Enumeration DateFebruary 2, 2016
✔ NPI 1780042036 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in MN · 6136
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.
8470 CITY CENTRE DR STE D, Woodbury, MN 55125
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners, Medica.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tyler James Peterson D.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1355649591
PECOS Enrollment IDI20160421000212

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, 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.
211 services20 patients

Other Providers at the Same Location NPPES

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

CORNERSTONE CHIROPRACTIC CLINIC LLC
Chiropractor
8470 CITY CENTRE DR STE D
WOODBURY, MN 55125
Washington County (651) 571-0726

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 Peterson's NPI number?

The NPI number for Tyler Peterson is 1780042036. It was assigned to this individual provider in the NPPES registry on February 2, 2016.

Where is Tyler Peterson located?

Tyler Peterson practices at 8470 City Centre Dr Ste D, Woodbury, MN 55125. The listed phone number is (651) 571-0726.

What is Tyler Peterson's specialty?

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

Is Tyler Peterson enrolled in Medicare?

Yes. Tyler Peterson is registered in the Medicare PECOS enrollment system.

What insurance does Tyler Peterson accept?

Health plans from HealthPartners and Medica list Tyler Peterson 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 Peterson was last updated on February 2, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.