NPI Code Detail JSON Logo

1437397593 NPI number — TY THOMAS DWORAK D.C.

NPI Number: 1437397593
Health Care Provider/Practitioner: TY THOMAS DWORAK D.C.

Information about “1437397593” NPI (TY THOMAS DWORAK D.C.) exists in 1437397593 in HTML format HTML  |  1437397593 in plain Text format TXT  |  1437397593 in PDF (Portable Document Format) PDF  |  1437397593 in an XML format XML  formats.

NPI Number : 1437397593 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1437397593",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "DWORAK",
    "FirstName": "TY",
    "MiddleName": "THOMAS",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "D.C.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "1517 E 42ND ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "KEARNEY",
    "MailingAddressStateName": "NE",
    "MailingAddressPostalCode": "68847-2685",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "314-973-5626",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "218 W 39TH ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "KEARNEY",
    "PracticeLocationAddressStateName": "NE",
    "PracticeLocationAddressPostalCode": "68845-2802",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "308-236-6499",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "01/28/2009",
    "LastUpdateDate": "01/28/2009",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "111N00000X",
        "TaxonomyName": "Chiropractor",
        "LicenseNumber": "1557",
        "LicenseNumberStateCode": "NE",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.