Kavanagh Chiropractic PA

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4998 Issued in MN

Legal business name

KAVANAGH CHIROPRACTIC PA

Practice address

500 Marschall Rd
Suite 130
Shakopee, MN 55379-2688

Phone

(952) 445-9313

NPI assigned

Jul 10, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Sarah Jean Kavanagh, D.C.NPI 1235321373

Title

President

Phone

(952) 445-9313

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Tax ID family

Kavanagh Chiropractic PA2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Kavanagh Chiropractic, P.a.

  • Chiropractor
  • De Graff, MN
  • NPI 1609007202
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sarah Jean Kavanagh, D.C.

  • Chiropractor
  • Shakopee, MN
  • NPI 1235321373
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1215648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423526400000",
    "number": "1710140611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 MARSCHALL RD",
            "address_2": "SUITE 130",
            "city": "SHAKOPEE",
            "state": "MN",
            "postal_code": "553792688",
            "telephone_number": "952-445-9313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 MARSCHALL RD",
            "address_2": "SUITE 130",
            "city": "SHAKOPEE",
            "state": "MN",
            "postal_code": "553792688",
            "telephone_number": "952-445-9313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAVANAGH CHIROPRACTIC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-10",
        "last_updated": "2015-02-10",
        "status": "A",
        "authorized_official_last_name": "KAVANAGH",
        "authorized_official_first_name": "SARAH",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "952-445-9313",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "4998",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Anne Kandik, MSW, LICSW
• Sarah Kane
• Marianne Ruth Kanning, MD
• Stephanie Jean Kaste, OTR/L
• Douglas Gerard Kaster, D.C.
• Sarah Jean Kavanagh, D.C.
• Alexander L Kayser
• Katherine Elizabeth Kearney-Bidwell, D.C.
• Jeffrey Donald Kendall, M.D.
• Herve Bertrand Kengne Mbakam, PHARMD, MS

• Chiropractor in Shakopee, MN
• Providers in Shakopee, MN by specialty
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2015; 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.

Verify at the official NPI Registry.