Active NPI
Lowell Francis Kavan, DC
- Chiropractor
- Winthrop, MN
National Provider Identifier
1194904045
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2242
- 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050607001059 | MN | Practitioner - Chiropractic | 4385687631 | Practice locations: Winthrop, MN |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 599227300 | Medicaid | MN |
NPI Registry JSON
{
"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.