Individual provider Active NPI

Tanner Jacob Kurz, DC

  • Chiropractor
  • Grapevine, TX
National Provider Identifier
1669244505
Registry record updated Jan 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
14859 Issued in TX
Practice address
150 W College St Ste 318
Grapevine, TX 76051-5336
Phone
(302) 690-3713
NPI assigned
Oct 24, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 25, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 14859 TX Primary

Addresses

Primary practice location

150 W College St Ste 318
Grapevine, TX 76051-5336

Mailing address

8255 Longford Dr
Fort Worth, TX 76116-6925

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240318002847 TX Practitioner - Chiropractic 8921445685 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

808 Fort Worth Hwy
Suite 110
Weatherford, TX 76086-4788
Phone (302) 690-3713

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Destination Chiropractic LLC Chiropractor CurrentSince Feb 21, 2024 Accepting new patients

Locations

808 Fort Worth Hwy
Ste 110
Weatherford, TX 76086
Phone (302) 690-3713

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": "1698105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706140800000",
    "number": "1669244505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8255 LONGFORD DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761166925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 W COLLEGE ST STE 318",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760515336",
            "telephone_number": "302-690-3713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KURZ",
        "first_name": "TANNER",
        "middle_name": "JACOB",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-10-24",
        "last_updated": "2024-01-25",
        "certification_date": "2024-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "14859",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grapevine, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2024; 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.