Individual provider Active NPI

Robert Wayne McVean, D.C.

  • Chiropractor
  • Hermantown, MN
National Provider Identifier
1013101625
Registry record updated Aug 28, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3297 Issued in MN
Practice address
5237 Miller Trunk Hwy
Hermantown, MN 55811-1217
Phone
(218) 729-6370
Fax
(218) 729-5067
NPI assigned
Aug 28, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 28, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3297 MN Primary

Addresses

Primary practice location

5237 Miller Trunk Hwy
Hermantown, MN 55811-1217

Mailing address

5237 Miller Trunk Hwy
Hermantown, MN 55811-1217
Phone (218) 729-6370

Other identifiers 1

IdentifierTypeStateIssuer
5C840MCOtherMNBC/BS OF MN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151119002363 MN Practitioner - Chiropractic 7911207147 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bolen Chiropractic, PAGroup PAC ID 6709902992, 2 clinicians

Practice addresses (Care Compare)

2730 Piedmont Ave
Suite 1
Duluth, MN 55811-6711
Phone (218) 728-3630

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3297MNMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Bolen Chiropractic, PA Chiropractor CurrentSince Nov 30, 2015 Accepting new patients

Locations

2730 Piedmont Ave
Ste 1
Duluth, MN 55811
Phone (218) 728-3630

2730 Piedmont Ave
Duluth, MN 55811
Phone (218) 722-1846

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": "1188259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1188259200000",
    "number": "1013101625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5237 MILLER TRUNK HWY",
            "city": "HERMANTOWN",
            "state": "MN",
            "postal_code": "558111217",
            "telephone_number": "218-729-6370",
            "fax_number": "218-729-5067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5237 MILLER TRUNK HWY",
            "city": "HERMANTOWN",
            "state": "MN",
            "postal_code": "558111217",
            "telephone_number": "218-729-6370",
            "fax_number": "218-729-5067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCVEAN",
        "first_name": "ROBERT",
        "middle_name": "WAYNE",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-08-28",
        "last_updated": "2007-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "3297",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS OF MN",
            "identifier": "5C840MC",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hermantown, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2007; 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.