Ty Thomas Dworak, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1557 Issued in NE

Practice address

218 W 39TH St
Kearney, NE 68845-2802

Phone

(308) 236-6499

NPI assigned

Jan 28, 2009

Last updated

Jan 28, 2009By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NE, IA2 enrollments

Enrollment records 2

Specialty

Chiropractic

Education

Logan College of Chiropractic, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

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  • Council Bluffs, IA
  • NPI 1891060109
  Medicare reassignment NPD Authorized official
• Hansen Chiropractic Wellness Center, LLC

  • Chiropractor
  • Blair, NE
  • NPI 1649696519
  Medicare reassignment NPD

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

{
    "created_epoch": "1233100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1233100800000",
    "number": "1437397593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1517 E 42ND ST",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "688472685",
            "telephone_number": "314-973-5626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "218 W 39TH ST",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "688452802",
            "telephone_number": "308-236-6499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DWORAK",
        "first_name": "TY",
        "middle_name": "THOMAS",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-01-28",
        "last_updated": "2009-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NE",
            "license": "1557",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Helen Duong
• Patricia E Durner, LIMHP
• Neil Dutenhoffer, HIS
• John Dutton, LIMHP
• Leera Marie Dutton
• Dynamic Spine and Sports Performance LLC
• E5Counseling, LLC
• Patricia Jo Ealy, PH.D., APRN-PMHNP
• Donna Ecklund
• Hope Lyn Edmunds, PLMHP

• Chiropractor in Kearney, NE
• Providers in Kearney, NE by specialty
• Chiropractor in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2009; 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.