Individual provider Active NPI

Katherine Ann Cowles, DC

  • Chiropractor
  • Apple Valley, MN
National Provider Identifier
1215073234
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4688 Issued in MN
Practice address
15010 Glazier Ave
Suite 104
Apple Valley, MN 55124-7403
Phone
(952) 431-5655
Fax
(952) 431-7363
NPI assigned
Jan 29, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 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 4688 MN Primary

Addresses

Primary practice location

15010 Glazier Ave
Suite 104
Apple Valley, MN 55124-7403

Mailing address

15010 Glazier Ave
Suite 104
Apple Valley, MN 55124-7403
Phone (952) 431-5655

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050712000211 MN Practitioner - Chiropractic 5799711701 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5920 148TH St W
Suite 110
Apple Valley, MN 55124-8242
Phone (952) 431-5655

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4688MNMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Discover Family Chiropractic Chiropractor CurrentSince Jun 27, 2005 Accepting new patients
Hyva Elama, P.a. Chiropractor Past Accepting new patients

Locations

15010 Glazier Ave
Ste 104
Apple Valley, MN 55124
Phone (952) 431-3386

5920 148th St W
Ste 110
Saint Paul, MN 55124
Phone (952) 431-5655

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1215073234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15010 GLAZIER AVE",
            "address_2": "SUITE 104",
            "city": "APPLE VALLEY",
            "state": "MN",
            "postal_code": "551247403",
            "telephone_number": "952-431-5655",
            "fax_number": "952-431-7363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15010 GLAZIER AVE",
            "address_2": "SUITE 104",
            "city": "APPLE VALLEY",
            "state": "MN",
            "postal_code": "551247403",
            "telephone_number": "952-431-5655",
            "fax_number": "952-431-7363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COWLES",
        "first_name": "KATHERINE",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "4688",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Apple Valley, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.