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

Logan Tyler North, DC

Individual provider Chiropractor · NPI 1013424357

Logan Tyler North, DC is a Chiropractic in O Fallon, Missouri. Graduated from Logan College of Chiropractic in 2017, 9 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Kentucky and Missouri.

Years since qualifying
9
Trained at
Logan College of Chiropractic
Licensed in
KY, MO
In the registry since
2018
Specialties on file
2
What do these letters mean?
DC — Doctor of Chiropractic
A licensed chiropractor.

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Practice location Address checks out

109 Church St
O Fallon, MO 63366-2894
Phone: (636) 240-2225
Fax: (636) 281-5377
Show map & directions

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

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X · Licence 2020035024 (MO)
Chiropractor Taxonomy 111N00000X · Licence 5562 (KY)

Record details

NPI number1013424357
Entity typeIndividual (Type 1)
GenderMale
Credentials DC
Sole proprietorYes
NPI enumeratedJanuary 9, 2018
Last updated in NPPESOctober 19, 2020
Certification dateOctober 19, 2020
Mailing address109 Church St, O Fallon, MO 63366-2894

Medicare enrollment

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

Medicare specialtyCHIROPRACTIC
Medical schoolLOGAN COLLEGE OF CHIROPRACTIC
Graduated 2017 (9 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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