Active NPI
Kara Ward McGillivray, DC
- Chiropractor
- Duluth, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 3257
- Practice address
- 4602 Grand Ave Ste 1000
Duluth, MN 55807-2712 - Phone
- (218) 336-3520
- Fax
- (218) 624-6097
- NPI assigned
- Jun 27, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 3191 | WI | |
| Chiropractor | 111N00000X | 3257 | MN | Primary |
Addresses
Primary practice location
4602 Grand Ave Ste 1000
Duluth, MN 55807-2712
Mailing address
2222 E 5TH St
Superior, WI 54880-3709
Phone (715) 395-5393
Other practice location 1
210 3rd St
Carlton, MN 55718-7703
Phone (218) 336-3524
Other practice location 2
2222 E 5th St
Superior, WI 54880-3709
Phone (715) 392-1955
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Northwestern College of Chiropractic, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4325 Grand Ave
Duluth, MN 55807-2730
Phone (218) 722-1497
4602 Grand Ave
Duluth, MN 55807-2712
Phone (218) 226-3520
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3191 | WI | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lake Superior Community Health Center | Current | Accepting new patients |
Locations
4325 Grand Ave
Duluth, MN 55807
Phone (218) 628-7035
4602 Grand Ave
Ste 1000
Duluth, MN 55807
Phone (218) 336-3520
2222 E 5th St
Superior, WI 54880
Phone (715) 392-1955
3600 Tower Ave
Superior, WI 54880
Phone (715) 392-1955
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.
-
- Federally Qualified Health Center (FQHC)
- Duluth, MN
- NPI 1699708297
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119830400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706486400000",
"number": "1255337937",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2222 E 5TH ST",
"city": "SUPERIOR",
"state": "WI",
"postal_code": "548803709",
"telephone_number": "715-395-5393",
"fax_number": "715-392-1935"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4602 GRAND AVE STE 1000",
"city": "DULUTH",
"state": "MN",
"postal_code": "558072712",
"telephone_number": "218-336-3520",
"fax_number": "218-624-6097"
}
],
"practiceLocations": [
{
"address_1": "210 3rd St",
"address_purpose": "LOCATION",
"city": "Carlton",
"state": "MN",
"postal_code": "557187703",
"country_code": "US",
"telephone_number": "218-336-3524",
"fax_number": "218-384-9002",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2222 E 5th St",
"address_purpose": "LOCATION",
"city": "Superior",
"state": "WI",
"postal_code": "548803709",
"country_code": "US",
"telephone_number": "715-392-1955",
"fax_number": "715-392-1935",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCGILLIVRAY",
"first_name": "KARA",
"middle_name": "WARD",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-06-27",
"last_updated": "2024-01-29",
"certification_date": "2024-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WI",
"license": "3191",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MN",
"license": "3257",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Duluth, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2024; 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.