Individual provider Active NPI

Tanner Kuznia, DC

  • Chiropractor
  • Moorhead, MN
National Provider Identifier
1114630035
Registry record updated Sep 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
7046 Issued in MN
Practice address
1602 30TH Ave S
Moorhead, MN 56560-5152
Phone
(701) 793-0745
NPI assigned
Jan 5, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 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 7046 MN Primary

Addresses

Primary practice location

1602 30TH Ave S
Moorhead, MN 56560-5152

Mailing address

1602 30TH Ave S
Moorhead, MN 56560-5152

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tjkuznia@far.midco.net

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230725002571 MN Practitioner - Chiropractic 4385002641 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1602 30TH Ave S
Moorhead, MN 56560-5152
Phone (218) 233-4402

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7046MNMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Morlock Chiropractic Center LTD Chiropractor CurrentSince Jul 11, 2023 Accepting new patients
Morlock Chiropractic Center Chiropractor PastSince Jan 8, 2023 Accepting new patients

Locations

1602 30th Ave S
Moorhead, MN 56560
Phone (218) 233-4402

Organizations & group practices 2

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": "1672876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725926400000",
    "number": "1114630035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1602 30TH AVE S",
            "city": "MOORHEAD",
            "state": "MN",
            "postal_code": "565605152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1602 30TH AVE S",
            "city": "MOORHEAD",
            "state": "MN",
            "postal_code": "565605152",
            "telephone_number": "701-793-0745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUZNIA",
        "first_name": "TANNER",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-01-05",
        "last_updated": "2024-09-10",
        "certification_date": "2024-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "7046",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tjkuznia@far.midco.net",
            "affiliation": "N",
            "address_1": "1602 30th Ave S",
            "city": "Moorhead",
            "state": "MN",
            "country_code": "US",
            "postal_code": "565605152",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Moorhead, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 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.