Individual provider Active NPI

Thomas Dugan Kuzma, D.C.

  • Chiropractor
  • Buffalo, MN
National Provider Identifier
1205020757
Registry record updated Aug 28, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4954 Issued in MN
Practice address
911 13TH St NW
Buffalo, MN 55313-4445
Phone
(952) 484-0379
NPI assigned
Aug 28, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 28, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4954 MN Primary

Addresses

Primary practice location

911 13TH St NW
Buffalo, MN 55313-4445

Mailing address

215 Highway 55 E
Suite Number 201
Buffalo, MN 55313-8905
Phone (763) 684-1111

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071213000785 MN Practitioner - ChiropracticPractitioner - Sports MedicinePractitioner - Pain Management 5698865681 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kuzma Chiropractic PAGroup PAC ID 9931299922, 2 clinicians

Practice addresses (Care Compare)

110 Division St E
Buffalo, MN 55313-1525
Phone (763) 684-1111

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Kuzma Chiropractic, PA Chiropractor CurrentSince Aug 30, 2007 Accepting new patients

Locations

105 Center Dr
Buffalo, MN 55313
Phone (763) 682-9433

110 Division St E
Buffalo, MN 55313
Phone (763) 682-1471

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": "1188259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1188259200000",
    "number": "1205020757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 HIGHWAY 55 E",
            "address_2": "SUITE NUMBER 201",
            "city": "BUFFALO",
            "state": "MN",
            "postal_code": "553138905",
            "telephone_number": "763-684-1111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 13TH ST NW",
            "city": "BUFFALO",
            "state": "MN",
            "postal_code": "553134445",
            "telephone_number": "952-484-0379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUZMA",
        "first_name": "THOMAS",
        "middle_name": "DUGAN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-08-28",
        "last_updated": "2007-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "4954",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2007; 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.