Individual provider Active NPI

Molly Tillman, DC

  • Chiropractor
  • Lincoln, NE
National Provider Identifier
1427497205
Registry record updated Mar 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1852 Issued in NE
Practice address
3801 Union Dr Ste 200
Lincoln, NE 68516-6652
Phone
(402) 420-5373
NPI assigned
Jun 14, 2013
Last updated
Mar 1, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1852 NE Primary

Addresses

Primary practice location

3801 Union Dr Ste 200
Lincoln, NE 68516-6652

Mailing address

3801 Union Dr Ste 200
Lincoln, NE 68516-6652
Phone (402) 420-5373

Other identifiers 1

IdentifierTypeStateIssuer
10026812400MedicaidNE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180608000852 NE Practitioner - Chiropractic 9638424922 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Cleveland Chiropractic College - Kansas City, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dr MJ Laughrin PCGroup PAC ID 5890926125, 4 clinicians

Practice addresses (Care Compare)

3801 Union Dr
Suite 200
Lincoln, NE 68516-6652
Phone (402) 420-5373

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Strive Chiropractic, LLC Chiropractor CurrentSince Sep 1, 2021 Accepting new patients
Dr MJ Laughrin PC Chiropractor CurrentSince Mar 1, 2023 Accepting new patients
Synergy Chiropractic Spine and Joint Center Chiropractor PastSince Apr 1, 2010 Accepting new patients

Locations

2917 Pine Lake Rd
Ste F
Lincoln, NE 68516
Phone (402) 615-6022

3801 Union Dr
Ste 200
Lincoln, NE 68516
Phone (402) 420-5373

Organizations & group practices 4

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": "1371168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677628800000",
    "number": "1427497205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3801 UNION DR STE 200",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685166652",
            "telephone_number": "402-420-5373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 UNION DR STE 200",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685166652",
            "telephone_number": "402-420-5373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TILLMAN",
        "first_name": "MOLLY",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-14",
        "last_updated": "2023-03-01",
        "certification_date": "2023-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NE",
            "license": "1852",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10026812400",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2023; 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.