Active NPI
Timothy L Dunagan, D.C.
- Chiropractor
- Grand Island, NE
National Provider Identifier
1336128974
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 638
- Practice address
- 620 N Custer Ave
Grand Island, NE 68803-4375 - Phone
- (308) 381-1312
- Fax
- (308) 381-6365
- NPI assigned
- Jan 12, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 638 | NE | Primary |
Addresses
Primary practice location
620 N Custer Ave
Grand Island, NE 68803-4375
Mailing address
620 N Custer Ave
Grand Island, NE 68803-4375
Phone (308) 381-1312
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 470638861-00 | Medicaid | NE | |
| 009513 | Other | NE | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Logan College of Chiropractic, 1978
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
620 N Custer Ave
Grand Island, NE 68803-4375
Phone (308) 381-1312
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 638 | NE | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grand Island Chiropractic Center, PC | Chiropractor | Current | Accepting new patients |
| Nebraska Spine Center, LLP | Past | Accepting new patients |
Locations
620 N Custer Ave
Grand Island, NE 68803
Phone (308) 381-1312
Interoperability endpoints
- https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.71581
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Chiropractor
- Grand Island, NE
- NPI 1427262633
-
- Orthopaedic Surgery of the Spine Physician
- Omaha, NE
- NPI 1588667950
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137024000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1210809600000",
"number": "1336128974",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "620 N CUSTER AVE",
"city": "GRAND ISLAND",
"state": "NE",
"postal_code": "688034375",
"telephone_number": "308-381-1312",
"fax_number": "308-381-6365"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "620 N CUSTER AVE",
"city": "GRAND ISLAND",
"state": "NE",
"postal_code": "688034375",
"telephone_number": "308-381-1312",
"fax_number": "308-381-6365"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUNAGAN",
"first_name": "TIMOTHY",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-01-12",
"last_updated": "2008-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NE",
"license": "638",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "470638861-00",
"state": "NE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "009513",
"state": "NE"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Grand Island, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.