Active NPI
Tim E Luse, D.C.
- Chiropractor
- South Sioux City, NE
National Provider Identifier
1790765295
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 753
- Practice address
- 3900 Dakota Ave
Suite #6
South Sioux City, NE 68776-3696 - Phone
- (402) 494-5173
- Fax
- (402) 494-5151
- NPI assigned
- Jan 19, 2006
- Sex
- Male
- Sole proprietor
- No
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 | 753 | NE | Primary |
Addresses
Primary practice location
3900 Dakota Ave
Suite #6
South Sioux City, NE 68776-3696
Mailing address
3900 Dakota Ave
Suite #6
South Sioux City, NE 68776-3696
Phone (402) 494-5173
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 47071890200 | Medicaid | NE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- National College of Chiropractic, 1981
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3900 Dakota Ave
South Sioux City, NE 68776-3696
Phone (402) 494-5173
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 753 | NE | MD | Hearing Instrument Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tri-State Physicians & Physical Therapy Clinic PC | Chiropractor | Current | Accepting new patients |
Locations
3900 Dakota Ave
Ste 6
South Sioux City, NE 68776
Phone (402) 494-5173
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.
-
- Chiropractor
- South Sioux City, NE
- NPI 1114180767
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137628800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1790765295",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3900 DAKOTA AVE",
"address_2": "SUITE #6",
"city": "SOUTH SIOUX CITY",
"state": "NE",
"postal_code": "687763696",
"telephone_number": "402-494-5173",
"fax_number": "402-494-5151"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3900 DAKOTA AVE",
"address_2": "SUITE #6",
"city": "SOUTH SIOUX CITY",
"state": "NE",
"postal_code": "687763696",
"telephone_number": "402-494-5173",
"fax_number": "402-494-5151"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUSE",
"first_name": "TIM",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-19",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NE",
"license": "753",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "47071890200",
"state": "NE"
}
],
"endpoints": [],
"other_names": []
}
Other providers in South Sioux City, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.