Paul Joseph Puetz, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3967 Issued in MN

Practice address

111 Jewett St
Marshall, MN 56258

Phone

(507) 532-4355

Fax

(507) 532-2399

NPI assigned

Nov 14, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in MN, SD2 enrollments

Enrollment records 2

Specialty

Chiropractic

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Moveology 605Group PAC ID 5991181729, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Moveology 605

  • Multi-Specialty Clinic/Center
  • Sioux Falls, SD
  • NPI 1184359820
  Medicare reassignment Care Compare group NPD Authorized official
• Complete Health Center PA

  • Chiropractor
  • Marshall, MN
  • NPI 1700093911
  Medicare reassignment NPD Authorized official
• Avera Marshall

  dba Avera Medical Group Optometry - Marshall

  • Optometrist
  • Marshall, MN
  • NPI 1487422465
  NPD (past)

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696464000000",
    "number": "1306918354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 JEWETT ST",
            "city": "MARSHALL",
            "state": "MN",
            "postal_code": "56258",
            "telephone_number": "507-532-4355",
            "fax_number": "507-532-2399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 JEWETT ST",
            "city": "MARSHALL",
            "state": "MN",
            "postal_code": "56258",
            "telephone_number": "507-532-4355",
            "fax_number": "507-532-2399"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "111 W 39th St",
            "address_purpose": "LOCATION",
            "city": "Sioux Falls",
            "state": "SD",
            "postal_code": "571055732",
            "country_code": "US",
            "telephone_number": "605-271-3578",
            "fax_number": "507-532-2399",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PUETZ",
        "first_name": "PAUL",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-14",
        "last_updated": "2023-10-05",
        "certification_date": "2023-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SD",
            "license": "1423",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "3967",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA",
            "identifier": "656448",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "639625900",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "90D32C0",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jason Michael Polzin, DPT
• Prairie Community Services Inc (Brentwood)
• Prairie Home Hospice, Inc.
• Prairie Winds Counseling (Prairie Winds Counseling, Inc.)
• Preferred Health of Marshall, PA
• Robert Thomas Quasius Sr.
• Omer Qureishy, MBBS.MD
• Mary J Rademacher, MS, LP
• Scott James Radloff, LADC, LSW
• Kaci Rainey

• Chiropractor in Marshall, MN
• Providers in Marshall, MN by specialty
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2023; 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.