Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Tyler Clark, CHIROPRACTOR

Individual provider Chiropractor · NPI 1205426327

Dr. Tyler Clark, CHIROPRACTOR is a Chiropractic in Canton, New York. Graduated from New York Chiropractic College in 2018, 8 years ago. Practices as a sole proprietor, works from 2 locations and accepts Medicare assignment. Licensed in New York.

Years since qualifying
8
Trained at
New York Chiropractic College
Licensed in
NY
In the registry since
2021
Specialties on file
2

Practice location Address checks out

3 Remington Ave Ste 5
Canton, NY 13617-3722
Phone: (315) 714-2033
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 94 North State Street, Heuvelton, NY 13654-4118 — (315) 714-2033

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X · Licence 013335-01 (NY)
Chiropractor Taxonomy 111N00000X · Licence X013335-01 (NY)

Record details

NPI number1205426327
Entity typeIndividual (Type 1)
GenderMale
Credentials CHIROPRACTOR
Sole proprietorYes
NPI enumeratedJanuary 22, 2021
Last updated in NPPESNovember 14, 2024
Certification dateNovember 14, 2024
Mailing address3 Remington Ave Ste 5, Canton, NY 13617-3603

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCHIROPRACTIC
Medical schoolNEW YORK CHIROPRACTIC COLLEGE
Graduated 2018 (8 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Canton