Individual provider Active NPI

Kristen N Favreau, DC

  • Chiropractor
  • Canton, MA
National Provider Identifier
1831239987
Registry record updated Aug 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3103 Issued in MA
Practice address
960 Turnpike St Ste 1C
Canton, MA 02021-2851
Phone
(781) 821-0072
NPI assigned
Feb 7, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3103 MA Primary

Addresses

Primary practice location

960 Turnpike St Ste 1C
Canton, MA 02021-2851

Mailing address

960 Turnpike St Ste 1C
Canton, MA 02021-2851
Phone (781) 821-0072

Other names 1

  • Kristen N Krowski Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080806000300 MA Practitioner - Chiropractic 2769556943 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College - West, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Canton Dale Chiropractic, Inc.Group PAC ID 7113051582, 2 clinicians

Practice addresses (Care Compare)

351 Turnpike St
Canton, MA 02021-2716
Phone (781) 821-0072

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1303MAMDOptician
3103MAMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Canton Dale Chiropractic, Inc. Chiropractor CurrentSince Jun 9, 2010 Accepting new patients

Locations

960 Turnpike St
Ste 1C
Canton, MA 02021
Phone (339) 502-8612

351 Turnpike St
Canton, MA 02021
Phone (781) 821-0072

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.

NPI Registry JSON

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787270400000",
    "number": "1831239987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "960 TURNPIKE ST STE 1C",
            "city": "CANTON",
            "state": "MA",
            "postal_code": "020212851",
            "telephone_number": "781-821-0072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "960 TURNPIKE ST STE 1C",
            "city": "CANTON",
            "state": "MA",
            "postal_code": "020212851",
            "telephone_number": "781-821-0072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAVREAU",
        "first_name": "KRISTEN",
        "middle_name": "N",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-07",
        "last_updated": "2026-08-21",
        "certification_date": "2026-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MA",
            "license": "3103",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTEN",
            "last_name": "KROWSKI",
            "middle_name": "N",
            "credential": "DC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Canton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2026; 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.