Organization Active NPI

Full Potential Chiropractic and Wellness, Inc.

  • Chiropractor
  • Humboldt, SD
National Provider Identifier
1225618945
Registry record updated Mar 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
FULL POTENTIAL CHIROPRACTIC AND WELLNESS, INC.
Practice address
118 S Main St
Humboldt, SD 57035-2131
Phone
(605) 937-7551
Fax
(605) 679-6595
NPI assigned
Apr 8, 2021
Last updated
Mar 12, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2025

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

Authorized official

Name
Dr. Kayla Marquardt, DCNPI 1164001749
Title
President
Phone
(605) 937-7551

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

118 S Main St
Humboldt, SD 57035-2131

Mailing address

PO Box 171
Humboldt, SD 57035-0171
Phone (605) 937-7551

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210714003052 SD Part B Supplier - Clinic/Group Practice 3678975547 Receives reassigned benefits from 1 practitioner
Practice locations: Humboldt, SD

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1617840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741737600000",
    "number": "1225618945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 171",
            "city": "HUMBOLDT",
            "state": "SD",
            "postal_code": "570350171",
            "telephone_number": "605-937-7551",
            "fax_number": "605-679-6595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 S MAIN ST",
            "city": "HUMBOLDT",
            "state": "SD",
            "postal_code": "570352131",
            "telephone_number": "605-937-7551",
            "fax_number": "605-679-6595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FULL POTENTIAL CHIROPRACTIC AND WELLNESS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-08",
        "last_updated": "2025-03-12",
        "certification_date": "2025-03-12",
        "status": "A",
        "authorized_official_last_name": "MARQUARDT",
        "authorized_official_first_name": "KAYLA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "605-937-7551",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Humboldt, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.