Kristian Joel Kakavas VI, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

06560 Issued in IA

Practice address

2318 Pershing Blvd
Clinton, IA 52732-2231

Phone

(563) 242-1512

Fax

(563) 241-1087

NPI assigned

May 19, 2006

Last updated

Sep 13, 2013By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Riverview Chiropractic Center P.C.

  • Chiropractor
  • Clinton, IA
  • NPI 1073692976
  Medicare reassignment NPD Authorized official
• Allied Health of Wisconsin, SC

  dba Allied Health Chiropractic Centers

  • Chiropractor
  • Wausau, WI
  • NPI 1487605051
  NPD (past)

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379030400000",
    "number": "1437102217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2318 PERSHING BLVD",
            "city": "CLINTON",
            "state": "IA",
            "postal_code": "527322231",
            "telephone_number": "563-242-1512",
            "fax_number": "563-241-1087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2318 PERSHING BLVD",
            "city": "CLINTON",
            "state": "IA",
            "postal_code": "527322231",
            "telephone_number": "563-242-1512",
            "fax_number": "563-241-1087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAKAVAS",
        "first_name": "KRISTIAN",
        "middle_name": "JOEL",
        "name_prefix": "Dr.",
        "name_suffix": "VI",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-19",
        "last_updated": "2013-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "06560",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Micah Johnson, LMSW
• Shari Sue Johnson, PHARMD
• Brooklin Jones
• Danielle Judd, PTA
• Kevan Kadavy, D.D.S.
• Manreet Singh Kalyan, PHARMD
• Kayla Kane, FNP-C
• Kenadi Kappes
• Andrea Graham Kasper, MSCCCSLP
• Cynthia Marie Kaster, RPH

• Chiropractor in Clinton, IA
• Providers in Clinton, IA by specialty
• Chiropractor in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2013; 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.