Individual provider Active NPI

Taylor Ann Kruize, DC

  • Chiropractor
  • Marshall, MN
National Provider Identifier
1881301505
Registry record updated Oct 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
7029 Issued in MN
Practice address
104 W Redwood St
Marshall, MN 56258-1980
Phone
(507) 532-2655
NPI assigned
Nov 2, 2022
Last updated
Oct 12, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 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 7029 MN Primary

Addresses

Primary practice location

104 W Redwood St
Marshall, MN 56258-1980

Mailing address

104 W Redwood St
Marshall, MN 56258-1980
Phone (507) 532-2655

Other names 1

  • Taylor Ann Thooft Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221215002717 MN Practitioner - Chiropractic 8325417215 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Health Enhancement Centers PAGroup PAC ID 6901956572, 6 clinicians

Practice addresses (Care Compare)

104 W Redwood St
Marshall, MN 56258-1980
Phone (507) 532-2655

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7029MNMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
The Health Enhancement Centers, P.a. Chiropractor CurrentSince Nov 2, 2022 Accepting new patients
Prairie Winds Wellness, PLLC PastSince Jul 1, 2010 Accepting new patients

Locations

104 W Redwood St
Marshall, MN 56258
Phone (507) 532-2655

104 W Redwood St
Ste 4
Marshall, MN 56258

202 E 1st St
Minneota, MN 56264
Phone (507) 532-2655

2340 26th St
Slayton, MN 56172
Phone (507) 836-8971

Organizations & group practices 2

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": "1667347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697068800000",
    "number": "1881301505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 W REDWOOD ST",
            "city": "MARSHALL",
            "state": "MN",
            "postal_code": "562581980",
            "telephone_number": "507-532-2655",
            "fax_number": "507-532-2951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 W REDWOOD ST",
            "city": "MARSHALL",
            "state": "MN",
            "postal_code": "562581980",
            "telephone_number": "507-532-2655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRUIZE",
        "first_name": "TAYLOR",
        "middle_name": "ANN",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-02",
        "last_updated": "2023-10-12",
        "certification_date": "2023-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "7029",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TAYLOR",
            "last_name": "THOOFT",
            "middle_name": "ANN",
            "credential": "DC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Marshall, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 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.