Individual provider Active NPI

Calvin James Thor, DC

  • Chiropractor
  • Norfolk, NE
National Provider Identifier
1386081818
Registry record updated Oct 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1761 Issued in NE
Practice address
110 N 37TH St Ste 405
Norfolk, NE 68701-3283
Phone
(402) 371-0522
Fax
(402) 371-8212
NPI assigned
May 23, 2013
Last updated
Oct 25, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1761 NE Primary

Addresses

Primary practice location

110 N 37TH St Ste 405
Norfolk, NE 68701-3283

Mailing address

110 N 37TH St
Ste 405
Norfolk, NE 68701-3283
Phone (402) 371-0522

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130807000337 NE Practitioner - Chiropractic 5395987184 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
CCLB Thor LLCGroup PAC ID 0648667493, 4 clinicians

Practice addresses (Care Compare)

131 S Main St
West Point
West Point, NE 68788-1832
Phone (402) 649-4462

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
CCLB Thor LLC CurrentSince May 1, 2022 Accepting new patients

Locations

131 S Main St
West Point, NE 68788
Phone (402) 371-0166

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1369267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666656000000",
    "number": "1386081818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 N 37TH ST",
            "address_2": "STE 405",
            "city": "NORFOLK",
            "state": "NE",
            "postal_code": "687013283",
            "telephone_number": "402-371-0522",
            "fax_number": "402-371-8212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 N 37TH ST STE 405",
            "city": "NORFOLK",
            "state": "NE",
            "postal_code": "687013283",
            "telephone_number": "402-371-0522",
            "fax_number": "402-371-8212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOR",
        "first_name": "CALVIN",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-05-23",
        "last_updated": "2022-10-25",
        "certification_date": "2022-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NE",
            "license": "1761",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norfolk, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2022; 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.

Verify at the official NPI Registry.