Timothy Keyo Cowan, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHR.0008486 Issued in CO

Practice address

257 Boardwalk Dr
Fort Collins, CO 80525-3661

Phone

(970) 207-4463

NPI assigned

Feb 28, 2022

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

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Specialty

Chiropractic

Education

Western States College of Chiropractic, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Square One Health LLCGroup PAC ID 9436555018, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Square One Health LLC

  • Nurse Practitioner
  • Fort Collins, CO
  • NPI 1790370914

  Multi-Specialty

  Medicare reassignment Care Compare group NPD
• Gubbels Chiropractic & Wellness Center

  • Chiropractor
  • Fort Collins, CO
  • NPI 1699939777
  NPD (past)

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

{
    "created_epoch": "1646006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646179200000",
    "number": "1952057085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "257 BOARDWALK DR",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805253661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "257 BOARDWALK DR",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805253661",
            "telephone_number": "970-207-4463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COWAN",
        "first_name": "TIMOTHY",
        "middle_name": "KEYO",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-02-28",
        "last_updated": "2022-03-02",
        "certification_date": "2022-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "CHR.0008486",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristy Coventry
• Michelle Coventry, LPC
• Daniel Paul Covey
• Erica Ellen Cowan, RN
• Ronda Renee Cowan, D.C.
• Olivia Coward
• Seth Lundberg Cowden, DDS
• Bethany Cox, D.C.
• Brian A Cox, D.D.S.
• Brian Thomas Cox

• Chiropractor in Fort Collins, CO
• Providers in Fort Collins, CO by specialty
• Chiropractor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2022; 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.