Healthcare Provider Details

I. General information

NPI: 1033072301
Provider Name (Legal Business Name): TYLER BENSZ DC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/04/2025
Last Update Date: 04/16/2026
Certification Date: 04/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

206 COLLEGE AVE SE
GAINESVILLE GA
30501-4512
US

IV. Provider business mailing address

900 OAKWOOD COMMUNITY CIR APT 9008
OAKWOOD GA
30566-4371
US

V. Phone/Fax

Practice location:
  • Phone: 470-219-8825
  • Fax:
Mailing address:
  • Phone: 219-877-8472
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberCHIR066598
License Number StateGA
# 2
Primary TaxonomyN
Taxonomy Code111NR0400X
TaxonomyRehabilitation Chiropractor
License NumberCHIR066598
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: