Provider Demographics
NPI:1851157168
Name:DR TYLER W SIMPSON DC
Entity Type:Organization
Organization Name:DR TYLER W SIMPSON DC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER. CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:TYLER
Authorized Official - Middle Name:W
Authorized Official - Last Name:SIMPSON
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:760-505-6166
Mailing Address - Street 1:862 W HAPPY CANYON RD STE 100
Mailing Address - Street 2:
Mailing Address - City:CASTLE ROCK
Mailing Address - State:CO
Mailing Address - Zip Code:80108-3910
Mailing Address - Country:US
Mailing Address - Phone:720-612-4386
Mailing Address - Fax:
Practice Address - Street 1:862 W HAPPY CANYON RD STE 100
Practice Address - Street 2:
Practice Address - City:CASTLE ROCK
Practice Address - State:CO
Practice Address - Zip Code:80108-3910
Practice Address - Country:US
Practice Address - Phone:720-612-4386
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-23
Last Update Date:2024-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center