Individual provider Active NPI

Tom Waage, LMT

  • Massage Therapist
  • Dakota Dunes, SD
National Provider Identifier
1851132336
Registry record updated Jun 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MT10954 Issued in SD
Practice address
330 Dakota Dunes Blvd Ste 300
Dakota Dunes, SD 57049-5462
Phone
(605) 217-2100
NPI assigned
Jun 6, 2024
Last updated
Jun 6, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X MT10954 SD Primary

Addresses

Primary practice location

330 Dakota Dunes Blvd Ste 300
Dakota Dunes, SD 57049-5462

Mailing address

330 Dakota Dunes Blvd Ste 300
Dakota Dunes, SD 57049-5462
Phone (605) 217-2100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MT10954SDMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Kruse Chiropractic, PC CurrentSince Jun 9, 2024 Accepting new patients

Locations

330 Dakota Dunes Blvd
Ste 300
North Sioux City, SD 57049
Phone (605) 217-2100

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": "1717632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717632000000",
    "number": "1851132336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 DAKOTA DUNES BLVD STE 300",
            "city": "DAKOTA DUNES",
            "state": "SD",
            "postal_code": "570495462",
            "telephone_number": "605-217-2100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 DAKOTA DUNES BLVD STE 300",
            "city": "DAKOTA DUNES",
            "state": "SD",
            "postal_code": "570495462",
            "telephone_number": "605-217-2100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAAGE",
        "first_name": "TOM",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-06-06",
        "last_updated": "2024-06-06",
        "certification_date": "2024-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "SD",
            "license": "MT10954",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dakota Dunes, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.