Active NPI
Johnathan Edward Tinsley, D.C.
- Chiropractor
- Wayne, NE
National Provider Identifier
1366540411
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1835
- Practice address
- 214 N Pearl St
Wayne, NE 68787-1902 - Phone
- (402) 375-3000
- NPI assigned
- Sep 20, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2684 | NC | |
| Chiropractor | 111N00000X | 1835 | NE | Primary |
Addresses
Primary practice location
214 N Pearl St
Wayne, NE 68787-1902
Mailing address
214 N Pearl St
Wayne, NE 68787-1902
Phone (402) 375-3000
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0844J | Other | NC | BLUE CROSS BLUE SHIELD |
| 2454074 | Other | NC | MEDICARE PROVIDER NUMBER |
| 89011Y3 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1835 | NE | MD | Mental Health Counselor |
| 2684 | NC | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1426032000000",
"number": "1366540411",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "214 N PEARL ST",
"city": "WAYNE",
"state": "NE",
"postal_code": "687871902",
"telephone_number": "402-375-3000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "214 N PEARL ST",
"city": "WAYNE",
"state": "NE",
"postal_code": "687871902",
"telephone_number": "402-375-3000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TINSLEY",
"first_name": "JOHNATHAN",
"middle_name": "EDWARD",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-20",
"last_updated": "2015-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NC",
"license": "2684",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NE",
"license": "1835",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "0844J",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PROVIDER NUMBER",
"identifier": "2454074",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "89011Y3",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Wayne, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.