Active NPI
Timothy Wade Fuehrer, DC
- Chiropractor
- Holdrege, NE
National Provider Identifier
1407922388
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 867
- Practice address
- 812 4TH Avenue
Holdrege, NE 68949 - Phone
- (308) 995-6181
- Fax
- (308) 995-6181
- NPI assigned
- Nov 24, 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 | 867 | NE | Primary |
Addresses
Primary practice location
812 4TH Avenue
Holdrege, NE 68949
Mailing address
812 4TH Avenue
Holdrege, NE 68949
Phone (308) 995-6181
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 009692 | Other | NE | BCBS |
| 47070478600 | Medicaid | NE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040219000400 | NE | Practitioner - Chiropractic | 8224923040 | Practice locations: Holdrege, NE |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 867 | NE | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164326400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691539200000",
"number": "1407922388",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "812 4TH AVENUE",
"city": "HOLDREGE",
"state": "NE",
"postal_code": "68949",
"telephone_number": "308-995-6181",
"fax_number": "308-995-6181"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "812 4TH AVENUE",
"city": "HOLDREGE",
"state": "NE",
"postal_code": "68949",
"telephone_number": "308-995-6181",
"fax_number": "308-995-6181"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FUEHRER",
"first_name": "TIMOTHY",
"middle_name": "WADE",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-24",
"last_updated": "2023-08-09",
"certification_date": "2023-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NE",
"license": "867",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "009692",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "47070478600",
"state": "NE"
}
],
"endpoints": [],
"other_names": []
}Other providers in Holdrege, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.