Organization Active NPI

Darren R. Cowl DPM LLC

  • Podiatric Clinic/Center
  • Mankato, MN
National Provider Identifier
1942484472
Registry record updated Mar 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Podiatric Clinic/CenterTaxonomy code 261QP1100X
License
695 Issued in MN
Legal business name
DARREN R. COWL DPM LLC
Practice address
65 Teton LN
Mankato, MN 56001-4814
Phone
(507) 345-6960
Fax
(507) 345-7040
NPI assigned
Dec 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2021

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

Authorized official

Name
Dr. Darren R Cowl, DPM
Title
Owner
Phone
(507) 345-6960

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatric Clinic/Center 261QP1100X 695 MN Primary

Addresses

Primary practice location

65 Teton LN
Mankato, MN 56001-4814

Mailing address

65 Teton LN
Mankato, MN 56001-4814
Phone (507) 345-6960

Other identifiers 7

IdentifierTypeStateIssuer
218531027993OtherMNPREFERRED ONE
27-00387OtherMNMEDICA
9183OtherMNHEALTHPARTNERS
142228OtherMNUCARE
2700255OtherMNSELECT CARE
170956OtherMNARAZ/AMERICAS PPO
27-00255OtherMNMEDICA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930092179 MN DME Supplier - Physician - Podiatry 5193803955 Practice locations: Mankato, MN

National Provider Directory

National Provider Directory

Locations

761 W 78th St
Ste 220
Chanhassen, MN 55317
Phone (952) 934-9000

761 W 78th St
#220
Chanhassen, MN 55317

65 Teton Ln
Mankato, MN 56001
Phone (507) 345-3347

1205 6th Ave S
Saint James, MN 56081
Phone (507) 375-3261

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1198022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615161600000",
    "number": "1942484472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 TETON LN",
            "city": "MANKATO",
            "state": "MN",
            "postal_code": "560014814",
            "telephone_number": "507-345-6960",
            "fax_number": "507-345-7040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 TETON LN",
            "city": "MANKATO",
            "state": "MN",
            "postal_code": "560014814",
            "telephone_number": "507-345-6960",
            "fax_number": "507-345-7040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DARREN R. COWL DPM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-19",
        "last_updated": "2021-03-08",
        "certification_date": "2021-03-08",
        "status": "A",
        "authorized_official_last_name": "COWL",
        "authorized_official_first_name": "DARREN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "507-345-6960",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": "MN",
            "license": "695",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED ONE",
            "identifier": "218531027993",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA",
            "identifier": "27-00387",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHPARTNERS",
            "identifier": "9183",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UCARE",
            "identifier": "142228",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SELECT CARE",
            "identifier": "2700255",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARAZ/AMERICAS PPO",
            "identifier": "170956",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA",
            "identifier": "27-00255",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mankato, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2021; 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.