Active NPI
River Valley Chiropractic Inc.
- Clinic/Center
- Red Wing, MN
National Provider Identifier
1518140409
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- License
- 3644
- Legal business name
- RIVER VALLEY CHIROPRACTIC INC.
- Practice address
- 104 Burnside Ave S
Red Wing, MN 55066-1928 - Phone
- (651) 267-0394
- Fax
- (651) 267-0395
- NPI assigned
- Dec 13, 2007
- Last updated
- Dec 13, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Kayovn Behnam, D.C.
- Title
- President
- Phone
- (651) 267-0394
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | 3644 | MN | Primary |
Addresses
Primary practice location
104 Burnside Ave S
Red Wing, MN 55066-1928
Mailing address
104 Burnside Ave S
Red Wing, MN 55066-1928
Phone (651) 267-0394
Other names 1
- River Valley Chiropractic
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Chiropractor
- Red Wing, MN
- NPI 1487775987
-
- Chiropractor
- Lake Elmo, MN
- NPI 1265649123
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1197504000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1197504000000",
"number": "1518140409",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "104 BURNSIDE AVE S",
"city": "RED WING",
"state": "MN",
"postal_code": "550661928",
"telephone_number": "651-267-0394",
"fax_number": "651-267-0395"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "104 BURNSIDE AVE S",
"city": "RED WING",
"state": "MN",
"postal_code": "550661928",
"telephone_number": "651-267-0394",
"fax_number": "651-267-0395"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RIVER VALLEY CHIROPRACTIC INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-12-13",
"last_updated": "2007-12-13",
"status": "A",
"authorized_official_last_name": "BEHNAM",
"authorized_official_first_name": "KAYOVN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "651-267-0394",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": "MN",
"license": "3644",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "River Valley Chiropractic",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Red Wing, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.