Dr. Tyler Poland, D.C.
Chiropractor in Davis, CA. Individual provider (NPI-1).
NPI number1194258293
StatusActive
Last updated in NPPESApr 5, 2017
Details
- NPI
- 1194258293
- Entity type
- Individual (NPI-1)
- Name
- Dr. Tyler Poland
- Credential
- D.C.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Apr 5, 2017
- Last updated
- Apr 5, 2017
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 111N00000X | Chiropractor | 33826 | CA | Yes |
Practice location
635 Anderson RdSte 14
Davis, CA 95616-3505
Phone 530-400-8390
Mailing address
2014 Klee PlDavis, CA 95618-7617
Phone 530-400-8390
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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