Healthcare Provider Details

I. General information

NPI: 1265327670
Provider Name (Legal Business Name): DAVID TYLER VOGEL DC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/09/2025
Last Update Date: 07/20/2026
Certification Date: 07/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6444 NOLENSVILLE PIKE STE 105
ANTIOCH TN
37013-4609
US

IV. Provider business mailing address

6444 NOLENSVILLE PIKE STE 105
ANTIOCH TN
37013-4609
US

V. Phone/Fax

Practice location:
  • Phone: 615-934-1175
  • Fax: 615-970-7071
Mailing address:
  • Phone: 615-295-9140
  • Fax: 615-970-7071

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number15449
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: