Individual provider Active NPI

Kristin Traiser, DC

  • Chiropractor
  • Waconia, MN
National Provider Identifier
1326751611
Registry record updated Jan 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
7054 Issued in MN
Practice address
9384 Oak Ave
Waconia, MN 55387-9422
Phone
(952) 442-3220
NPI assigned
Jan 2, 2023
Last updated
Jan 2, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 7054 MN Primary

Addresses

Primary practice location

9384 Oak Ave
Waconia, MN 55387-9422

Mailing address

1605 Hidden TRL
Mayer, MN 55360-4513
Phone (218) 205-4451

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230513000093 MN Practitioner - Chiropractic 8224494430 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
Group practices
Waconia Family ChiropracticGroup PAC ID 9234438045, 3 clinicians

Practice addresses (Care Compare)

9384 Oak Ave
Suite a
Waconia, MN 55387-9422
Phone (952) 442-3220

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Waconia Family Chiropractic Chiropractor CurrentSince Feb 1, 2023 Accepting new patients

Locations

29 E Main St
Waconia, MN 55387
Phone (952) 442-7015

9384 Oak Ave
Ste A
Waconia, MN 55387
Phone (952) 442-3220

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1672617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672617600000",
    "number": "1326751611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1605 HIDDEN TRL",
            "city": "MAYER",
            "state": "MN",
            "postal_code": "553604513",
            "telephone_number": "218-205-4451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9384 OAK AVE",
            "city": "WACONIA",
            "state": "MN",
            "postal_code": "553879422",
            "telephone_number": "952-442-3220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAISER",
        "first_name": "KRISTIN",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-02",
        "last_updated": "2023-01-02",
        "certification_date": "2023-01-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "7054",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waconia, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 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.