Thomas Matthew Etter, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1185 Issued in NE

Practice address

111 N Union St # 107
Ponca, NE 68770-7297

Phone

(402) 755-4111

NPI assigned

Jul 19, 2006

Last updated

Aug 15, 2014By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Tom M Etter Other name

Medicare fee-for-service enrollment

Enrolled in NE

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 1997

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Chiropractic Associates, P.C. , Inc.

  • Chiropractor
  • Lincoln, NE
  • NPI 1053509927
  NPD (past)
• Decker Chiropractic Walk-in-Care, PA

  • Chiropractor
  • Olathe, KS
  • NPI 1265614010
  NPD (past)

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1408060800000",
    "number": "1477572345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 107",
            "city": "PONCA",
            "state": "NE",
            "postal_code": "687700107",
            "telephone_number": "402-755-4111",
            "fax_number": "913-568-8510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 N UNION ST # 107",
            "city": "PONCA",
            "state": "NE",
            "postal_code": "687707297",
            "telephone_number": "402-755-4111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ETTER",
        "first_name": "THOMAS",
        "middle_name": "MATTHEW",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-19",
        "last_updated": "2014-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KS",
            "license": "4640",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NE",
            "license": "1185",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TOM",
            "last_name": "ETTER",
            "middle_name": "M",
            "credential": "DC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Kathryn Lea Crosgrove
• Robert Davey, LMT
• Brenda Delano, OTD, OTR/L
• Jaime Dobbs, PTA
• Elms Health Care Center Inc (Ponca Nursing and Assisted Living Center)
• Ronda Lynne Gensler
• Delores Mae Geu
• Michael Howard Gibbs
• Brenda L Graves
• Crystal Heath

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2014; 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.