Daryl V Cowan, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

08001542 Issued in IN

Practice address

1 Plaza Dr
Suite 20
Pendleton, IN 46064-8823

Phone

(765) 778-7399

Fax

(765) 778-7399

NPI assigned

May 7, 2007

Last updated

Mar 16, 2016By 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

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Specialty

Chiropractic

Education

Life Chiropractic College, 1993

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458086400000",
    "number": "1821201070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 PLAZA DR",
            "address_2": "SUITE 20",
            "city": "PENDLETON",
            "state": "IN",
            "postal_code": "460648823",
            "telephone_number": "765-778-7399",
            "fax_number": "765-778-7399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 PLAZA DR",
            "address_2": "SUITE 20",
            "city": "PENDLETON",
            "state": "IN",
            "postal_code": "460648823",
            "telephone_number": "765-778-7399",
            "fax_number": "765-778-7399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COWAN",
        "first_name": "DARYL",
        "middle_name": "V",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-07",
        "last_updated": "2016-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08001542",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL TAX ID#",
            "identifier": "351925531",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE NUMBER BCBS",
            "identifier": "000000214574",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200167160A21",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Theodosis J Chronis, DO
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• Megan Daberko, NP
• Jamie Davis
• Dennis L. Fast MD Inc
• Marya Jane Doerr

• Chiropractor in Pendleton, IN
• Providers in Pendleton, IN by specialty
• Chiropractor in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2016; 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.