Individual provider Active NPI

Thomas Elliott Littell, DC

  • Chiropractor
  • Kearney, NE
National Provider Identifier
1699508465
Registry record updated Aug 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2196 Issued in NE
Practice address
3806 Country Club LN Ste B
Kearney, NE 68845-4134
Phone
(308) 224-3336
NPI assigned
Aug 26, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2196 NE Primary

Addresses

Primary practice location

3806 Country Club LN Ste B
Kearney, NE 68845-4134

Mailing address

3806 Country Club LN Ste B
Kearney, NE 68845-4134
Phone (308) 224-3336

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240926003896 NE Practitioner - Chiropractic 5496286791 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Cleveland Chiropractic College - Kansas City, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dynamic Spine and Sports Performance LLCGroup PAC ID 0840739520, 2 clinicians

Practice addresses (Care Compare)

3806 Country Club LN
Suite B
Kearney, NE 68845-4134
Phone (308) 440-2149

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2196NEMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Dynamic Spine and Sports Performance LLC Chiropractor CurrentSince Aug 23, 2024 Accepting new patients

Locations

3806 Country Club Ln
Ste B
Kearney, NE 68845
Phone (308) 224-3336

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1724630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724630400000",
    "number": "1699508465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3806 COUNTRY CLUB LN STE B",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "688454134",
            "telephone_number": "308-224-3336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3806 COUNTRY CLUB LN STE B",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "688454134",
            "telephone_number": "308-224-3336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LITTELL",
        "first_name": "THOMAS",
        "middle_name": "ELLIOTT",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-08-26",
        "last_updated": "2024-08-26",
        "certification_date": "2024-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NE",
            "license": "2196",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kearney, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2024; 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.