Brent Alexander Kvam, D.C.,

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4188 Issued in MN

Practice address

7525 Mitchell Rd
Suite 300
Eden Prairie, MN 55344-1959

Phone

(952) 974-2091

Fax

(952) 974-2296

NPI assigned

Dec 5, 2005

Last updated

Nov 26, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Specialty

Chiropractic

Education

Northwestern College of Chiropractic, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Healthstar Chiropractic Center, P.a.

  • Chiropractor
  • Eden Prairie, MN
  • NPI 1053432989
  Medicare reassignment NPD Authorized official
• Nielson Family Chiropractic PLLC

  dba Davis Chiropractic

  • Chiropractor
  • St Louis Park, MN
  • NPI 1467736231
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1133740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1353888000000",
    "number": "1053395863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7525 MITCHELL RD",
            "address_2": "SUITE 300",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553441959",
            "telephone_number": "952-974-2091",
            "fax_number": "952-974-2296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7525 MITCHELL RD",
            "address_2": "SUITE 300",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553441959",
            "telephone_number": "952-974-2091",
            "fax_number": "952-974-2296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KVAM",
        "first_name": "BRENT",
        "middle_name": "ALEXANDER",
        "name_prefix": "Dr.",
        "credential": "D.C.,",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-05",
        "last_updated": "2012-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "4188",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Biju Daniel Kunjummen, DO
• Sarah Kupfer, LP
• Stanley Douglas Kurisko, M.D.
• Cody Hunter Kurth, BS
• Linda Ann Kutz, PSY.D. LP
• Jamie Louise Lacy, BS, LC
• Megan Richelle Lakemacher
• Christine Lam
• Gianna M Lammer
• Kimberly Lang

• Chiropractor in Eden Prairie, MN
• Providers in Eden Prairie, MN by specialty
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2012; 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.