Individual provider Active NPI

Tim E Luse, D.C.

  • Chiropractor
  • South Sioux City, NE
National Provider Identifier
1790765295
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
753 Issued in NE
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

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
47071890200MedicaidNE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090128000423 NE Practitioner - Chiropractic 8123182623 Reassigns benefits to 1 organization

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
Tri-State Physicians and Physical Therapy Clinic PCGroup PAC ID 1951465442, 7 clinicians

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

LicenseStateTypeSpecialty
753NEMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Tri-State Physicians & Physical Therapy Clinic PC Chiropractor CurrentSince Jan 1, 2009 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.

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.

Verify at the official NPI Registry.