IndividualActive
Tyler Chanthavong, DC
NPI 1386433704 · Chiropractor · Green Bay, WI
Tyler Chanthavong, DC is a Chiropractor provider in Green Bay, WI (NPI 1386433704).
Provider details
- NPI number
- 1386433704
- Entity type
- Individual
- Primary specialty
- ChiropractorChiropractic Providers
- Credential
- DC
- Sex
- Male
- Sole proprietor
- Yes
- License
- 6307-12 (WI)
Specialties & taxonomies
Chiropractic Providers
Profile Score
Established profile(54/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2300 Riverside Dr Ste 122
Green Bay, WI 54301-1900
Phone: (920) 664-2559
Approximate (ZIP-level) locationGet directions
Mailing address
803 Fredrick Ct Apt 10
Howard, WI 54313-7994
Registry dates
- Enumerated
- 2025-05-02
- Last updated
- 2025-05-05
- Certified
- 2025-05-05
Frequently asked questions
- What is Tyler Chanthavong's NPI number?
- Tyler Chanthavong's National Provider Identifier (NPI) is 1386433704, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Tyler Chanthavong's specialty?
- Tyler Chanthavong is listed in the NPPES registry with a primary specialty of Chiropractor (Chiropractic Providers).
- Where is Tyler Chanthavong located?
- Tyler Chanthavong's practice location on file with NPPES is 2300 Riverside Dr Ste 122, Green Bay, WI 54301-1900.
- What is Tyler Chanthavong's phone number?
- The practice phone number listed in the NPPES registry for Tyler Chanthavong is (920) 664-2559.
- Is Tyler Chanthavong's NPI active?
- Yes — Tyler Chanthavong's NPI (1386433704) is active in the NPPES registry as of the last update on 2025-05-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.