Individual provider Active NPI

Lowell Francis Kavan, DC

  • Chiropractor
  • Winthrop, MN
National Provider Identifier
1194904045
Registry record updated May 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2242 Issued in MN
Practice address
109 East 2ND St
Kavan Chiropractic
Winthrop, MN 55396-0206
Phone
(507) 647-3257
Fax
(507) 228-8091
NPI assigned
Oct 29, 2007
Sex
Male
Sole proprietor
Yes

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

109 E 2ND St
Winthrop, MN 55396-2429
Phone (507) 647-3257

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050607001059 MN Practitioner - Chiropractic 4385687631 Practice locations: Winthrop, MN

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPPES NPI Registry

Updated by the provider on May 2, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2242 MN Primary

Addresses

Primary practice location

109 East 2ND St
Kavan Chiropractic
Winthrop, MN 55396-0206

Mailing address

PO Box 206
Kavan Chiropractic 109 East 2ND St
Winthrop, MN 55396-0206
Phone (507) 647-3257

Other identifiers 1

IdentifierTypeStateIssuer
599227300MedicaidMN

NPI Registry JSON

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

{
    "created_epoch": "1193616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209686400000",
    "number": "1194904045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 206",
            "address_2": "KAVAN CHIROPRACTIC 109 EAST 2ND ST",
            "city": "WINTHROP",
            "state": "MN",
            "postal_code": "553960206",
            "telephone_number": "507-647-3257",
            "fax_number": "507-228-8091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 EAST 2ND ST",
            "address_2": "KAVAN CHIROPRACTIC",
            "city": "WINTHROP",
            "state": "MN",
            "postal_code": "553960206",
            "telephone_number": "507-647-3257",
            "fax_number": "507-228-8091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAVAN",
        "first_name": "LOWELL",
        "middle_name": "FRANCIS",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-10-29",
        "last_updated": "2008-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "2242",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "599227300",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winthrop, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2008; 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.