Active NPI
Robin W Kawecki, D.C.
- Chiropractor
- Valparaiso, IN
National Provider Identifier
1407983992
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 08001253A
- Practice address
- 2307 Laporte Ave
Suite 4
Valparaiso, IN 46383-6996 - Phone
- (219) 902-6955
- Fax
- (219) 228-8442
- NPI assigned
- Feb 28, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 | 08001253A | IN | Primary |
| Chiropractor | 111N00000X | 038007667 | IL |
Addresses
Primary practice location
2307 Laporte Ave
Suite 4
Valparaiso, IN 46383-6996
Mailing address
7230 Olcott Ave
Nonesuch House
Hammond, IN 46323-2044
Phone (219) 902-6955
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100424280C | Medicaid | IN | |
| M300038971 | Other | IN | MEDICARE PTAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 038007667 | IL | MD | Chiropractor |
| 08001253A | IN | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Munster Chiropractic, Incorporated | Chiropractor | Past | Accepting new patients |
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.
-
- Chiropractor
- Highland, IN
- NPI 1962608554
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1363219200000",
"number": "1407983992",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7230 OLCOTT AVE",
"address_2": "NONESUCH HOUSE",
"city": "HAMMOND",
"state": "IN",
"postal_code": "463232044",
"telephone_number": "219-902-6955",
"fax_number": "219-228-8442"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2307 LAPORTE AVE",
"address_2": "SUITE 4",
"city": "VALPARAISO",
"state": "IN",
"postal_code": "463836996",
"telephone_number": "219-902-6955",
"fax_number": "219-228-8442"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAWECKI",
"first_name": "ROBIN",
"middle_name": "W",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-28",
"last_updated": "2013-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IN",
"license": "08001253A",
"primary": true
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IL",
"license": "038007667",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100424280C",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "M300038971",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Valparaiso, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.