Individual provider Active NPI

Samuel Kuss, DC

  • Chiropractor
  • Anoka, MN
National Provider Identifier
1568203271
Registry record updated May 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
7235 Issued in MN
Practice address
440 Bunker Lake Blvd NW Ste 105
Anoka, MN 55303-1053
Phone
(763) 330-0393
Fax
(763) 316-4189
NPI assigned
Jun 5, 2024
Last updated
May 1, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 1, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 7235 MN Primary

Addresses

Primary practice location

440 Bunker Lake Blvd NW Ste 105
Anoka, MN 55303-1053

Mailing address

440 Bunker Lake Blvd NW Ste 105
Anoka, MN 55303-1053
Phone (763) 330-0393

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250709003218 MN Practitioner - Chiropractic 3779097993 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7235MNMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Kuss Company LLC Chiropractor CurrentSince May 12, 2025 Accepting new patients

Locations

440 Bunker Lake Blvd NW
Ste 105
Anoka, MN 55303
Phone (763) 330-0393

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": "1717545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746057600000",
    "number": "1568203271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 BUNKER LAKE BLVD NW STE 105",
            "city": "ANOKA",
            "state": "MN",
            "postal_code": "553031053",
            "telephone_number": "763-330-0393",
            "fax_number": "763-316-4189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 BUNKER LAKE BLVD NW STE 105",
            "city": "ANOKA",
            "state": "MN",
            "postal_code": "553031053",
            "telephone_number": "763-330-0393",
            "fax_number": "763-316-4189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUSS",
        "first_name": "SAMUEL",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-06-05",
        "last_updated": "2025-05-01",
        "certification_date": "2025-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "7235",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anoka, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 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.